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STATE   REGISTRATION 
FOR    NURSES 


BY 

LOUIE   CROFT  BO  YD,    R.  N. 

\\ 

Graduate  Colorado  Training  School    for    Nurses,  connected  with  City  and  County  Hospital, 

Denver,  Colorado,  1899;  Post-Graduate  Presbyterian  Hospital,  Chicago,  Illinois,  1903; 

Member  Colorado  State  Board  of  Nurse  Examiners,  1903-1909 


SECOND  EDITION.  ENLARGED 


PHILADELPHIA  AND  LONDON 

W.   B.   SAUNDERS   COMPANY 

1915 


Copyright,  1911,  by  W.  B.  Saunders  Company.    Revised,  entirely  reset,  reprinted,  and  recopy- 

righted  February,  1915 


Copyright  1915,  by  W.  B.  Saunders  Company 


PRINTED    IN    AMERICA 

PRESS    OF 

W.     B.     SAUNDERS     COMPANV 
PHILADELPHIA 


TO 

ilanj  Atelatte  Nuttttig 

WHO  GAVE  THE  SUGGESTION  THAT  EVENTUALLY  BROUGHT 
THIS  MONOGRAPH  INTO  EXISTENCE 


CONTENTS 


INTRODUCTION i 

SUMMARY  OF  LAWS: — STATE  BOARD  OF  NURSE  EXAMINERS 3 

REGISTRATION  REQUIREMENTS 17 

FEES  AND  THEIR  DISPOSITION 36 

EXEMPTIONS  AND  RESTRICTIONS 41 

VIOLATIONS 42 

REVOCATION 46 

RECIPROCITY 5! 

COMPULSORY  LAWS 51 

RECORDING  CERTIFICATES 52 

MISCELLANEOUS 52 

FULL  TEXT  OF  LAWS 54 

INDEX 147 


STATE  REGISTRATION  FOR  NURSES 


INTRODUCTION 

IN  the  appended  material  the  author  has  made  an  effort  to  com- 
pile a  comparative  summary  of  the  laws  in  the  United  States  govern- 
ing the  registration  of  nurses,  and  to  present  it  hi  such  shape  as  to 
furnish  an  easy  reference  for  those  states  contemplating  new  legal 
enactments  or  the  revision  of  laws  already  in  existence,  a  means 
of  ready  reference  for  the  trained  nurse  in  choosing  her  field  of  pro- 
fessional activity — whether  temporary  or  permanent — and  to  serve 
as  a  basis  in  the  collection  of  data  for  a  complete  history  of  the  regis- 
tration movement  in  the  United  States. 

All  the  laws  provide  for  a  period  during  which  nurses  with  vary- 
ing lengths  of  training  may  be  registered,  usually  without  examina- 
tion, thus  protecting  suitable  nurses  who  trained  or  practised  prior  to 
the  time  when  legal  enactments  were  thought  of  and  standards  of 
training  were  in  the  formative  period.  Upon  the  going  into  effect 
of  the  provisions  of  the  acts  there  is  no  state  which  registers  an 
applicant  who  has  had  less  than  two  years'  training  and  the  majority 
of  the  states  require  three  years'  training.  Many  of  the  laws  specify 
that  this  training  shall  be  received  in  a  general  hospital,  while  some 
recognize  the  training  given  in  the  special  hospital  when  it  is  sup- 
plemented by  a  specified  tune  spent  in  an  institution  of*  a  general 
character.  Two  new  provisions  are  coming  into  the  laws  of  later 
date:  For  the  inspection  and  registration  of  training-schools.  Another 
provision,  found  hi  a  very  few  laws  and  worthy  of  general  adoption 
by  the  states,  is  that  of  defining  what  is  meant  by  "nurse"  and  "train- 
ing-school," which  is  equivalent  to  restricting  the  use  of  the  word 
"nurse"  to  the  trained,  graduate,  or  professional  woman,  and  gives 
the  training-school  a  place  among  educational  institutions.  All  the 
laws  give  the  licentiate  the  title  of  "Registered  Nurse,"  with  the  right 
to  use  the  abbreviation  "R.  N." 

i  l 


2  INTRODUCTION 

In  amending  the  laws  some  of  the  states  neglected  to  rearrange 
the  wording  in  different  sections  applicable  to  the  same  provision. 
This  mistake  will  lead  to  a  misunderstanding  on  the  part  of  the  nurse 
practitioner  and  may  eventually  bring  unnecessary  legal  complica- 
tions. Another  source  of  possible  trouble,  noticed  in  a  few  instances, 
is  to  make  a  positive  statement  and  follow  it  up  in  the  same  section 
with  a  proviso  that  negatives  it. 

This  opportunity  gives  the  author  the  privilege  of  extending  her 
thanks  to  the  secretaries  of  the  different  State  Boards  and  State 
Associations  for  the  copies  of  the  laws  furnished  and  the  granting  of 
such  other  information  made  necessary  for  the  completion  of  this 
revision;  also  to  those  who  kindly  assisted  in  the  sorting  and  compila- 
tion of  the  material  for  publication,  and  in  the  proof-reading  of  the 
copy  that  came  from  tune  to  time. 

LOUIE  CROFT  BOYD. 
DENVER,  COLORADO, 
February,  1915. 


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REGISTRATION   REQUIREMENTS 


REGISTRATION    REQUIREMENTS 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Alabama. 


Arkansas. 


California. 


Any  incorporated  or- 
ganization teaching 
and  training  its 
pupils,  giving  hos- 
pital practice  in 
hospital  having  at 
least  twenty  beds, 
and  whose  course 
of  instruction  is  ap- 
proved by  State 
Health  Officer. 

All  engaged  in  nurs- 
ing at  time  of  pas- 
sage, or  who  have 
practised  for  five 
years  prior  to  pas- 
sage; must  show 
good  moral  char- 
acter; graduate 
from  hospital  or 
sanitariunv  giving 
two  years'  general 
training,  and  meet 
requirements  of  law 
by  applying  within 
ninety  days  after 
organization  of 
Board;  also  United 
States  Army  and 
Navy  nurses  honor- 
ably discharged. 


All  who  apply  before 
July  i,  1914,  and 
have  graduated 
from  a  reputable 
training-school  con- 
nected with  a  gen- 
eral hospital. 


Examination  to  test 
applicants'  fitness 
to  practice,  and 
shall  be  in  following 
subjects:  Practical 
nursing,  surgical 
nursing,  obstetric 
nursing,  hygiene, 
contagion,  diet 
cooking,  materia 
medica,  anatomy, 
physiology,  gyne- 
cology,  care  of  chil- 
dren, and  urinary 
analysis;  genito- 
urinary to  be  given 
to  male  nurses.  If 
applicant  fails  she 
or  he  may  take  a 
second  examina- 
tion, but  no  more 
than  two  examina- 
tions may  be  given 
without  payment 
of  additional  fee. 

Must  furnish  satis- 
factory evidence  of 
having  graduated 
from  an  accredited 
training-school  for 
nurses.  All  appli- 
cants must  be  of 
good  moral  char- 
acter and  comply 
with  provisions  of 
this  act. 


After  May  i,  1914, 
applicants  must  be 
nineteen  years  old, 
and  have  passed 
eighth  grade  or  pos- 
sess its  equivalent. 


i8 


STATE   REGISTRATION   FOR   NURSES 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Colorado. 


Connecticut. 


All  engaged  in  nurs- 
ing at  time  of  pas- 
sage of  act,  of  good 
moral  character, 
graduated  prior  to 
April,  1906,  train- 
ing-school con- 
nected with  hospi- 
tal or  sanitarium 
giving  two  years' 
general  training; 
prior  to  1901 
eighteen  months 
general  training, 
and  maintain 

proper  standards. 
Those  in  training 
in  wards  of  general 
hospital  or  sani- 
tarium in  the  state 
where  two  years' 
training  with  sys- 
tematic course  of 
instruction  is  given 
and  who  graduate 
hereafter,  provided 
they  make  applica- 
tion before  April, 
1909.  All  nurses 
who  have  served 
in  army  or  navy 
of  the  United 
States  and  been 
honorably  dis- 
charged. 

Within  two  years 
from  passage  of 
act:  Must  be 
twenty-one  years 
old,  of  good  moral 
character,  by  affi- 
davit or  otherwise 
show  graduation 
from  a  two  years' 
training  in  public 
or  private  hospital 
where  medical,  sur- 
gical, and  obstet- 
ric cases  are 
treated;  also  stu- 
dent in  such  a 
training-school  who 


Board  to  determine 
fitness  of  applicant 
to  practice. 


Applicant  to  be 
twenty-one  years 
old,  of  good  moral 
character,  gradu- 
ate of  training- 
school  which  gives 
two  years'  training 
in  a  public  or  pri- 
vate hospital  which 
cares  for  medical, 
surgical  and  obstet- 
ric cases,  or  who 
has  had  experience 
which  Board  shall 
decide  is  equiva- 
lent. Examination 
to  cover  elemen- 


REGISTRATION  REQUIREMENTS 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Connecticut. 

shall          graduate 

tary  anatomy  and 

(Continued). 

later. 

physiology,     medi- 

cal,   surgical,    and 

obstetric     nursing, 

dietetics,  and  home 

sanitation. 

Delaware. 

Before  June  i,  191  1: 

Graduates     from 

Applicant       to       be 

Those      possessing 

special    hospital 

twenty-one       years 

necessary     qualifi- 

giving   two    years' 

old,  of  good  moral 

cations;    graduates 

training,    examina- 

character, graduate 

of  a  general  hospi- 

tion to  be  in  sub- 

of school  connected 

tal    or    sanitarium 

jects  not  adequate- 

with general  hospital 

which     gave     two 

ly  taught  in  their 

giving   three   years' 

years'  training  prior 

schools. 

training  in  hospital, 

to  1898;  graduates 

and   after   June    i, 

of  special  hospital 

1911,    to   have   the 

which     gave     two 

equivalent  of  high- 

years'  training  and 

school  education  or 

who     obtain     one 

pass    an    examina- 

year additional  in 

tion     in     collateral 

an    approved    gen- 

subjects. 

eral  hospital. 

District      of 

Nurses       possessing 

Those     engaged     in 

Over        twenty-three 

Columbia. 

necessary      qualifi- 

nursing    for     four 

years  of  age,  of  good 

cations    who    have 

years  just  prior  to 

moral        character, 

been         graduated 

passage  of  the  Act 

free     from     habits 

and      engaged      in 

and  have  spent  one 

liable    to    interfere 

nursing     for     five 

year  in  a  hospital 

with  her  services  as 

years  just  prior  to 

or  sanitarium  may 

a  nurse;  who  holds 

passage  of  the  act; 

pass  a  practical  ex- 

a  diploma   from   a 

those        graduated 

amination,     certifi- 

t r  a  i  n  i  n  g-school 

from           training- 

cates  to  show  that 

registered    by    the 

schools  in  District 

they  have  not  ful- 

examining Board  as 

of  Columbia  within 

filled    all    the    re- 

maintaining  proper 

five  years  from  the 

quirements          for 

educational     stand- 

passage of  the  act. 

graduate  nurses. 

ards,      that      gives 

not   less   than   two 

years'    training    in 

a    general    hospital 

or     instruction     of 

the    same    kind    as 

that  given  in  a  gen- 

eral hospital. 

Florida. 

All  nurses  who  grad- 

Graduates          from 

Applicant    must    be 

uate  before  June  i, 

t  r  a  i  n  i  n  g-schools 

twenty-two      years 

1916,        possessing 

connected         with 

old,  of  good  moral 

qualifications     and 

special       hospitals 

character,          have 

upon    payment    of 

giving    two    years' 

equivalent  of  gram- 

fee: Graduates  from 

training,  who  pass 

mar  schooling,  and 

t  r  a  i  n  i  n  g-schools 

special  examination 

graduate            from 

connected  with  gen- 

before June  i,  1916, 

training-school  pre- 

eral     hospital      or 

in  subjects  not  ade- 

sided  over  by  gradu- 

20 


STATE   REGISTRATION   FOR   NURSES 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Florida 

sanitarium     giving 

quately   taught   in 

ate  nurse,  and  giving 

(Continued)  . 

two  years'  training, 

their     training- 

a  systematic  course 

or  prior  to  1897  hav- 

schools. All  nurses 

in  medical,  surgical, 

ing  had  one  year's 

after  June  i,  1916. 

and  obstetric  nurs- 

training, who  main- 

ing   covering    two 

tain    proper    stan- 

years;   or    has    re- 

dards, and  are  en- 

ceived   two    years' 

gaged  in  nursing  at 

training     in     some 

time  of  passage  of 

reputable     hospital 

law,  or  have  been 

and  received  a  cer- 

engaged in  nursing 

tificate     from     the 

for  five  years  after 

superintendent      or 

graduation  prior  to 

physician  in  charge 

passage  of  law;  also 

and  which  shall  be 

those  in  training  at 

approved     by     the 

time  of  passage  of 

Medical  Association 

law,  graduate  here- 

of the  County  where 

after,    and   possess 

hospital  is  located; 

the  required  quali- 

or  graduated   from 

fications;  also  grad- 

training-school     in 

uates    from    train- 

connection    with    a 

ing-s  c  h  o  o  1  s   con- 

hospital    in     good 

nected  with  special 

standing    supplying 

hospitals  giving  two 

a    systematic     two 

years'  training  who 

years'   training  ob- 

obtain   one    year's 

1 

tained    in    two    or 

training  in  an  ap- 

more hospitals. 

proved  general  hos- 

pital.   All  these  ap- 

plications must  be  in 

before  June  i,  1916. 

Georgia. 

Nurses        possessing 

Graduates          from 

Applicant    to    be 

necessary      qualifi- 

chartered training- 

twenty-one      years 

cations  who  apply 

school      connected 

old,  of  good  moral 

before      June      i, 

with    general    hos- 

character and  pro- 

1909;   also    gradu- 

pital or  sanitarium, 

fessional  standing. 

ates    of     training- 

in   which   medical, 

schools     connected 

surgical,       gyneco- 

with    hospital     or 

logic  and  obstetric 

sanitarium     giving 

cases    are    treated, 

two  years'  instruc- 

where three  years' 

tion,    or    prior    to 

training   with   sys- 

or during  1897  one 

tematic    course    of 

year's  training;  also 

instruction  is  given, 

nurses   in    training 

or   graduates   with 

at  time  of  passage 

same   training   ob- 

of   act    and    who 

tained    in    two    or 

shall          graduate 

more  hospitals.  All 

hereafter. 

applicants  at  same 

examination     shall 

be     subjected     to 

same    kind    of    an 

examination. 

REGISTRATION   REQUIREMENTS 


21 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Idaho. 


Illinois. 


Applications  to  be 
made  before  July  i, 
191 1,  in  following 
manner:  Graduates 
from  reputable 
training-school  con- 
nected with  general 
or  special  hospital 
giving  a  two  years' 
course  of  training 
between  date  above 
and  January  i, 
1890.  2.  Graduates, 
on  or  prior  to  Jan- 
uary i,  1897,  from 
reputable  training- 
school  connected 
with  general  hos- 
pital, which  gave 
one  year's  training, 
and  who  have  had 
five  years'  experi- 
ence subsequent  to 
graduation.  3. 

Nurses  now  in  train- 
ing in  reputable 
training-school  con- 
nected with  a  gen- 
eral hospital  which 
gives  two  years' 
training,  provided 
they  graduate 

therefrom.  Also 
nurses  who  apply 
on  or  after  January 
i,  1914,  provided 
they  are  graduates 
from  reputable 
training  -  schools 
connected  with  gen- 
eral hospitals  giving 
a  systematic  course 
covering  three 
years. 


Nurses  who  apply  on 
or  after  January  i, 
1914,  and  shall  be 
graduates  from  rep- 
utable training- 
schools  connected 
with  special  hospital 
giving  two  years' 
training,  and  have 
obtained  one  year's 
additional  training 
in  a  general  hospital 
in  those  subjects 
not  adequately 
taught  in  their 
training-schools. 


Applications  to  be  in 
writing,  applicant 
to  be  resident  of 
state,  of  good  moral 
character,  twenty- 
two  years  of  age, 
graduate  from  ac- 
credited school  for 


Applicants  furnish 
evidence  of  being 
twenty-one  years 
old,  of  good  moral 
character,  and  grad- 
uates from  training- 
schools  connected 
with  general  hospi- 
tal, approved  by 
Board,  where  a  sys- 
tematic course,  cov- 
ering two  years,  is 
given. 


STATE   REGISTRATION   FOR   NURSES 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Illinois 
(Continued) . 


Indiana. 


Diplomas  from  a 
training-school  con- 
nected with  a  gen- 
eral hospital  giving 
two  years'  training; 
those  having  had 
seven  years'  ex- 
perience, three 
spent  in  a  general 
or  special  hospi- 
tal, and  engaged 
in  nursing  at  date 
of  or  prior  to  the 
passage  of  act;  ap- 
plication to  be 
made  before  Jan- 
uary i ,  1906.  Nurses 


nurses  connected 
with  general  hospi- 
tal giving  a  system- 
atic course  covering 
three  years  and 
possessing  other 
qualifications  pre- 
scribed by  Board. 
Pupils  may  apply 
within  three  months 
of  graduation,  but 
certificate  is  not 
issued  until  diploma 
is  granted  by 
school.  Also  nurses 
who  graduated  from 
a  training-school 
connected  with  any 
hospital  of  good 
standing,  requiring 
two  years'  training, 
and  who  possess  the 
other  necessary 
qualifications,  pro- 
vided application  is 
filed  within  six 
months  subsequent 
to  passage  of  act, 
or  at  time  of  appli- 
cation shall  have 
obtained  one  year's 
additional  training 
in  subjects  not  ade- 
quately taught  in 
their  schools. 
Graduates  of  train- 
ing-schools con- 
nected with  special 
hospitals  who  pass 
examination  in  sub- 
jects not  adequate- 
ly taught  in  their 
schools.  By-laws 
to  provide  for  ex- 
amination of  nurses 
who  apply  before 
January  i,  1906, 
who  have  not  grad- 
uated from  a  train- 
ing-school, have 
been  nursing  ten 
years  and  present 


Applicant  to  be 
twenty-one  years 
old  and  of  good 
moral  character. 


REGISTRATION   REQUIREMENTS 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Indiana 

in  training  at  pas- 

required      creden- 

(Continued). 

sage    of    act    and 

tials    from    physi- 

who possess  neces- 

cians.    After  June 

sary  qualifications; 

i,   1908,   applicant 

graduates         from 

to  furnish  satisfac- 

special      hospitals 

tory    evidence    of 

giving    two    years' 

qualifications,  have 

training,    who    ob- 

equivalent of  high- 

tain  six  months  ad- 

school     education, 

ditional  training  in 

graduate  from  train- 

a general   hospital 

ing-school  connect- 

approved by  Board; 

ed  with  general 

graduates  who  have 

hospital,   approved 

nursed    five    years 

by  Board,  where  a 

prior  to  passage  of 

systematic     course 

this  act;  all  eligible 

of  instruction  cov- 

before June  i,  1908. 

ering  two  years  is 

All  honorably  dis- 

given. 

charged  army  and 

navy      nurses      of 

United  States. 

Iowa. 

Graduates  and  resi- 

Examination          to 

Applicant       to      be 

dents  of  state  who 

cover      elementary 

twenty-three    years 

have  been  engaged 

hygiene,    anatomy, 

old,  of  good  moral 

in  nursing  prior  to 

physiology,        ma- 

character,      schools 

passage  of  act;  also 

teria  medica,  diet- 

to    be     recognized 

those  who  graduate 

etics,          practical 

by  State  Board  of 

prior    to    July    i, 

nursing,       medical 

Health,     applicants 

1907. 

and   surgical  nurs- 

to    have     received 

ing,          obstetrics, 

two  years'   instruc- 

nursing     of      chil- 

tion in  general  hos- 

dren, and  the  rules 

pital  practice.  After 

and   regulations  of 

July  i,  1910,  train- 

the State  Board  of 

ing  school  must  give 

Health   relating  to 

three  years'  training 

infectious    diseases 

and  be  attached  to 

and         quarantine 

general  hospital. 

and  other  subjects 

required  from  time 

to  time. 

Kansas. 

Applicant  to  present 

After  July   i,   1913, 

Applicants      to      be 

diploma  issued  be- 

applicant  to   have 

twenty-one       years 

fore  July   i,  1913, 

diploma  from  train- 

old, of  good  moral 

from  training-school 

ing-school  connect- 

character, and  have 

connected  with  gen- 

ed  with   chartered 

received  the  equiv- 

eral hospital,  state 

hospital     requiring 

alent  of  a  common 

hospital,        sanita- 

two years'  course  of 

school  education. 

rium,  or  special  hos- 
pital holding  a  char- 

systematic training! 
in  general  hospital, 

ter,  or  from  one  of 

state  hospital,  sani- 

these       hospitals, 

tarium,    or   special 

without   a   charter 

hospital     of     good 

STATE   REGISTRATION   FOR   NURSES 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Kansas 
(Continued) 


Kentucky. 


prior  to  July  i, 
1913,  where  a  sys- 
tematic course  of 
training  is  given  in 
one  or  more  hospi- 
tals; also  to  appli- 
cant holding  cer- 
tificate issued  prior 
to  1905  by  any  in- 
stitution giving  one 
year's  training,  pro- 
vided applicant  has 
had  seven  years' 
practice.  Appli- 
cants who  show  di- 
ploma from  train- 
ing-school connect- 
ed with  chartered 
general  hospital, 
sanitarium,  or  spe- 
cial hospital  giv- 
ing two  years'  train- 
ing. 

Graduate  nurses  hon- 
orably engaged  in 
nursing  at  time  of 
passage  of  law,  resi- 
dents of  state  for 
six  months,  of  good 
moral  character, 
and  graduates  from 
training-school  con- 
nected with  special 
hospital,  infirmary, 
or  general  hospital 
of  good  reputation, 
and  in  other  re- 
spects meet  require- 
ments of  law;  also 
all  graduated  prior 
to  1893  and  having 
had  one  year's  train- 
ing in  a  reputable 
school;  also  all 
nurses  in  training  in 
school  giving  a  sys- 
tematic training, 
provided  they  grad- 
uate. All  these 
applications  to  be 
in  on  or  before 
August  i,  1914. 


standing.  Rules  for 
examinations  to  be 
furnished  upon  re- 
quest. 


Examination  to  show 
qualifications  of 
nurse  to  practice. 


Applicants  to  furnish 
satisfactory  evi- 
dence of  being 
twenty-one  years  of 
age,  of  good  moral 
character,  and  have 
been  graduated  from 
training-school  con- 
nected with  special 
hospital,  infirmary, 
or  general  hospital 
approved  by  Board. 


REGISTRATION   REQUIREMENTS 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Louisiana. 

Pupils  in  training  at 

Until   July    i,  1913, 

Applicants      to      be 

time  of  passage  of  act 

nurses  having  had 

twenty-one  years  of 

and  who  graduate 

one  year's  training 

age,  of  good  moral 

before  July  i,  1915, 

in      a      recognized 

character,  have 

from  schools  in  state, 

school,  three  years 

equivalent  of  high- 

all  applications  to  be 

of  actual  experience, 

school  education, 

made  before  July  i  , 

and  be  vouched  for 

and  be  graduate  of 

1915.    Nurses  prac- 

by   five    reputable 

training-school  con- 

tising in  state,  who 

physicians. 

nected  with  general 

show  themselves  to 

hospital  in  good 

be  graduates  from 

standing,  of  which 

training    -    schools 

Board  shall  be  the 

connected  with  gen- 

judge. 

eral    hospitals     or 

sanitariums    giving 

two  years'  training, 

shall  be  required  to 

be  registered  before 

July  i,  1913. 

Maryland. 

Those    showing    re- 

Board makes  require- 

Applicant      to       be 

quirements.    Grad- 

ments.    Graduates 

twenty-three    years 

uates  from  training- 

from     training- 

of  age,  good  moral 

schools     connected 

schools     connected 

character,     equiva- 

with general  hospi- 

with special  hospi- 

lent of  high-school 

tal    or    sanitarium 

tals  are  eligible  for 

education,      gradu- 

giving   two    years' 

registration  prior  to 

ate    from    training- 

training,  or  prior  to 

June  i,  1906,  upon 

school       connected 

1897  having  given 

passing  special  ex- 

with a  general  hos- 

one year's  training 

amination  in   sub- 

pital where  a  three 

and       maintaining 

jects  not  adequate- 

years' training  with 

proper     standards, 

ly  taught  in  their 

a  systematic  course 

and  are  engaged  in 

training-schools. 

of     instruction      is 

nursing  at  date  of 

given,  or  same  train- 

passage     of      act; 

ing  obtained  in  two 

those    engaged    in 

or  more  hospitals. 

nursing   five   years 

after       graduation 

prior  to  passage  of 

act;  those  in  train- 

ing at  time  of  pas- 

sage of  act  and  who 

graduate  hereafter; 

graduates         from 

training-schools  con- 

nected with  special 

hospitals  giving  two 

years'   course   who 

obtain    one    year's 

additional  training 

in  approved  general 

hospital;  all  eligible 

before  June  i,  1906. 

26 


STATE   REGISTRATION   FOR  NURSES 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Massachu- 

Residents   of    Com- 

Applicant     to      be 

Applications     to     be 

setts. 

monwealth,       who 

twenty-one     years 

made     on     blanks 

shall    make    appli- 

old   and    of    good 

furnished  by  Board 

cation    within   one 

moral       character. 

and      signed      and 

year  from  passage 

If    applicant    fails 

sworn  to. 

of    act    and    who 

to  pass,  may  be  re- 

shall    by    affidavit 

examined  if  appli- 

or   otherwise    sat- 

cation     is      made 

isfy   the   Board   of 

within     the     year. 

having   nursed   for 

Examinations  shall 

five      years      next 

be    partly    written 

prior  to  date  of  ap- 

in     English      and 

plication,  or  those 

partly  in  practical 

having    had    expe- 

work; shall  include 

rience  in  hospitals 

the  principles  and 

or   training-schools 

methods  of  nursing, 

which    will    justify 

credit  to  be  given 

registration  by  the 

for  examinations  in 

Board. 

special  branches. 

Michigan. 

Before  December  i, 

After    December    i, 

Applicant       to       be 

1912:  Graduate  of 

1912:       Graduates 

twenty-one      years 

general       hospital, 

from  schools  giving 

old,  of  good  moral 

state  hospital,  sani- 

two years'  training 

character,  and  who 

tarium,    or   special 

with  systematic  in- 

has    received     the 

hospital          which 

struction  in  a  gen- 

equivalent     of      a 

gives     two     years' 

eral  hospital,  state 

grammar  school  ed- 

training with  syste- 

hospital, or  special 

ucation. 

matic  instruction  in 

hospital     in     good 

hospital,      or      its 

standing,    the    ex- 

equivalent received 

amination  to  be  in 

in  one  or  more  gen- 

accordance      with 

eral     hospitals     of 

rules  prescribed  by 

good  standing;  also 

Board.  Within  two 

if  applicant  gradu- 

years following  pas- 

ated prior  to  1895 

sage  of  act:  Those 

and    received    one 

who  have  pursued 

year's    training    in 

the     vocation     of 

•   any  of  the  aforesaid 

nursing     for     five 

institutions     under 

years  or  more  prior 

conditions       satis- 

to  passage  of   act 

factory    to    Board, 

and    who    present 

is   nursing    at    the 

certificates      show- 

date of  passage  of 

ing  competency  and 

the  act,  or  has  been 

signed  by  one  regis- 

nursing  five   years 

tered  physician  and 

after       graduation 

two          registered 

and  prior  to  pass- 

nurses. 

ing    of    law,    and 

shall    make    appli- 

cation   before   De- 

cember i,  1911. 

REGISTRATION   REQUIREMENTS 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Minnesota. 

Nurses       possessing 

Applicant  to  be  ex- 

Applicant      to       be 

necessary     qualifi- 

amined    in     both 

twenty-one      years 

cations  if  applica- 

theoretic and  prac- 

old, of  good  moral 

tion  be  made  prior 

tical  nursing;  grad- 

character,      educa- 

to January  i,  1910; 

uates    of    training- 

tion    equivalent    to 

also    graduates    of 

schools     connected 

entrance       require- 

training   -    schools 

with  special  hospi- 

ments      of       high- 

connected         with 

tals      giving      two 

schools     of     state, 

general  hospital  or 

years'    course,    the 

graduate  of  train- 

sanitarium     giving 

examination  to  be 

ing-s  c  h  o  o  1      con- 

two years'  course, 

in  subjects  not  ade- 

nected with  general 

or    prior    to    1897 

quately   taught   in 

hospital          giving 

one  year's   course, 

their  schools;   also 

three   years'    train- 

and who  maintain 

those     who     have 

ing  with  systematic 

proper     standards; 

nursed      for      five 

course    of    instruc- 

also those  engaged 

years  prior  to  pas- 

tion given  in  hospi- 

in nursing  at  date 

sage  of  act  who  pre- 

tal, or  with  corre- 

of passage  of  act  or 

sent        certificates 

sponding      training 

have  been  engaged 

signed   by   one   li- 

which may  be  ob- 

in     nursing      five 

censed       physician 

tained    in    two    or 

years  after  gradu- 

and two  registered 

more  hospitals. 

ation  prior  to  pas- 

nurses, this  exam- 

sage   of    act;    also 

ination  to  be  prac- 

those   in    training 

tical  and  for  a  pe- 

who graduate  here- 

riod  of   two  years 

after;    also    gradu- 

following passage  of 

ates  from  training- 

act. 

schools     connected 

with  special  hospi- 

tals     giving      two 

years'  course  with 

one     year's     addi- 

tional   training    in 

an    approved    gen- 

eral hospital. 

Mississippi. 

All  nurses  in  training 

Examinations    to 

Applicant       to      be 

at  time  of  passage 

cover   theoretic 

eighteen  years  old, 

of    act,    and    who 

and  practical  nurs- 

good moral  charac- 

graduate on  or  be- 

ing, anatomy,  phys- 

ter, common  school 

fore  two  years  fol- 

iology,     bacteriol- 

education or  its 

lowing,   and   make 

ogy,  materia  med- 

equivalent,  and 

application    before 

ica,    dietetics,    and 

graduate  from  gen- 

the   expiration    of 

hygiene.       Nurses, 

eral  hospital  or  san- 

time limit;  also  all 

not  graduates,  who 

itarium  giving  two 

nurses  in  the  state 

have  practised  prior 

years'       continuous 

who          graduated 

to  taking  effect  of 

resident  training 

prior  to  passage  of 

act. 

with    a    systematic 

act,  provided  appli- 

course   of    instruc- 

cation is  made  with- 

tion. 

in  one  year  follow- 

ing passage  of  law. 

28 


STATE   REGISTRATION  FOR  NURSES 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Missouri. 


Montana. 


Before  December  i, 
1912:  Graduates 
of  schools  con- 
nected .  with  gen- 
eral hospitals  giv- 
ing two  or  more 
years'  training  with 
systematic  instruc- 
tion in  one  or  more 
general  hospitals 
of  good  standing. 
Before  December 
31,  1911:  Those 
who  graduated 
prior  to  1895  from 
general  hospital, 
sanitarium,  or  spe- 
cial hospital  ap- 
proved by  Board, 
and  who  are  or 
have  been  for  five 
years  engaged  in 
nursing  at  date  of 
passage  of  act. 

Any  nurse  who  grad- 
uated prior  to  July 
i,  1917,  and  after 
January  i,  1890, 
from  a  reputable 
training-school  con- 
nected with  a  gen- 
eral hospital  which 
gives  two  years' 
training. 


After  1912:  Gradu- 
ates from  schools 
requiring  two  or 
more  years'  course 
with  systematic  in- 
struction in  a  gen- 
eral hospital,  sani- 
tarium, or  special 
hospital,  or  from 
one  or  more  hospi- 
tals giving  the  same 
training  or  its 
equivalent. 


Within  two  years,  fol- 
lowing passage  of 
act,  any  person  who 
has  nursed  for  five 
years,  and  who  pre- 
sents a  certificate 
that  he,  or  she,  is  a 
competent  person 
to  give  efficient  care 
to  the  sick,  this 
being  signed  by- 
one  licensed  physi- 
cian in  active  prac- 
tice and  two  regis- 
tered nurses.  All 
applicants  after 
July  i,  1917;  also 
those  who  have 
graduated  from  a 
training-school  ap- 
proved by  the 
Board,  connected 
with  a  special  hos- 
pital requiring  a 
systematic  course 
of  two  years'  train- 
ing, and  who  at  the 
time  of  application 


Applicant  to  be 
twenty-one  years 
old,  of  good  moral 
character,  and  a 
resident  or  gradu- 
ate nurse  of  state, 
except  where  other- 
wise provided;  also 
must  have  equiv- 
alent of  grammar- 
school  course. 


Applicants  to  be 
twenty-two  years 
old  and  of  good 
moral  character. 


REGISTRATION   REQUIREMENTS 


29 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Montana 

shall  have  obtained 

(Continued'). 

in  a  reputable  gen- 

eral   hospital    one 

year's      additional 

training  in  subjects 

not         adequately 

taught      in      their 

training-school,  ex- 

amination to  cover 

these        additional 

subjects. 

Nebraska. 

Nurses       possessing 

Theoretic   and  prac- 

Applicant      to       be 

necessary  qualifica- 

tical nursing,  anat- 

twenty-one years  of 

tions  and  graduated 

omy   and    physiol- 

age, of  good  moral 

before   January    i, 

ogy,  materia  med- 

character,       educa- 

1911; or  who  have 

ica,    practical    and 

tion    equivalent    to 

taken    six    months 

surgical       nursing, 

requirements        for 

or  more  in  hospital 

and  in  mental  and 

high-school          en- 

or    training-school 

nervous      diseases. 

trance,      graduated 

in    good    standing 

Graduates        from 

from     a     training- 

and  have  been  nurs- 

training   -    schools 

school       connected 

ing      for       twelve 

connected  with  gen- 

with a  general  hos- 

months, application 

eral     hospitals     or 

pital  or  sanitarium 

to  be  made  before 

sanitariums    giving 

giving  two  or  three 

September  i,  1910. 

a     two     or     more 

years'  course. 

years'  course;  from 

training    -    schools 

connected  with  spe- 

cial hospitals  who 

obtain  six  months' 

additional   training 

in  an  approved  gen- 

eral    hospital     or 

training     obtained 

in  two  or  more  hos- 

pitals;   two    years' 

actual      experience 

in  nursing  in  this 

state    and    to    be 

recommended       in 

writing     by     four 

reputable       physi- 

cians, provided  ap- 

plication  be   made 

before   January   i, 

1910. 

New  Hamp- 

Regent,   upon    rec- 

Engaged   in    actual 

Resident     of     state, 

shire. 

ommendation       of 

practice    for    three 

over        twenty-one 

Nurse  Board,  may 

years  just  prior  to 

years  old,  of  good 

waive  examination 

passage  of  the  act. 

moral        character, 

of  any  graduate  in 

Examination  to  be 

diploma  from  train- 

good standing,  and 

in  practical  nursing 

ing  -  school      con- 

STATE   REGISTRATION   FOR  NURSES 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

New  Hamp- 

of pupils  in  train- 

and limit  for  regis- 

nected with  hospi- 

shire 

ing  who  shall  grad- 

tration in  this  way 

tal,  giving  at  least 

(Continued). 

uate  hereafter  and 

three    years    from 

two    years    in    the 

who  apply  in  writ- 

passage of  act. 

hospital  and   regis- 

ing    within     three 

tered  by  the  Regent 

years  from  the  pas- 

of the  State  Boards 

sage  of  the  act. 

of   Medical    Exam- 

iners   as    maintain- 

ing   proper    stand- 

ards. 

New  Jersey. 

Nurse    residents    of 

To  begin  when  law 

Applicants      to      be 

state,    who    apply 

goes  into  effect,  and 

twenty-one       years 

within    two   years, 

to  cover  anatomy, 

old,  of  good  moral 

graduates  of  train- 

physiology,   bacte- 

character,  a  gram- 

ing-schools    giving 

riology,        materia 

mar-school     certifi- 

two years'  course  in 

medica,     dietetics, 

cate,  and  one  year  of 

public    or    private 

hygiene,     medical, 

high-school  or  their 

general       hospital; 

surgical,    and    ob- 

equivalent          and 

also  nurses  in  train- 

stetric        nursing, 

graduate  of  training- 

ing  at  time  of  pas- 

children's diseases, 

school       connected 

sage  of  law,  possess- 

and contagion.  Ap- 

with public  or  pri- 

ing   above    qualifi- 

plicant to  have  be- 

vate general  hospi- 

cations,   and    who 

tween  60  and  70  per 

tal      which      treats 

graduate    after- 

cent, in  each  sub- 

twenty-five patients 

ward. 

ject. 

daily,  or  its  equiva- 

lent, as  determined 

by  Board;  references 

from  one  practicing 

physician   and   two 

nurses;  also  photo- 

graph and  affidavit. 

New  York. 

Nurses    who    gradu- 

Regents, with  advice 

Applicant    must    be 

ated  before  or  are 

of  Board  of  Exam- 

resident   of    state, 

in  training  at  time 

iners,    shall    make 

over        twenty-one 

of  passage  of   the 

rules  for  the  exam- 

years   of    age,    of 

act  and  shall  grad- 

ination   of    nurses; 

good  moral  charac- 

uate hereafter;  also 

also  grant  a  certif- 

ter, holding  diploma 

such  as  are  engaged 

icate    to    nurse    of 

from  training-school 

in     nursing,     who 

good  moral  charac- 

connected with  hos- 

have    had     three 

ter,  who  has  been 

pital  or  sanitarium 

years'  experience  in 

engaged  in  nursing 

giving    two    years' 

a  general   hospital 

for  three  years  next 

course,  and  which  is 

prior  to  the  passage 

prior  to  the  passage 

registered    by    the 

of  this  act  and  who 

of  the  act,  provided 

Regents  of  the  State 

apply  within  three 

application          be 

of  New  York. 

years  after  the  pas- 

made within  three 

sage  of  this  act. 

years  from  the  pas- 

sage of  this  act. 

North  Caro- 

Furnish evidence  of 

Examined    in    anat- 

Applicant must  be  of 

lina. 

competency        en- 

omy,     physiology, 

good    moral    char- 

tirely    satisfactory 

materia  medica,  in 

acter,  over  twenty- 

to  Board. 

medical,     surgical, 

one  years  old,  have 

REGISTRATION   REQUIREMENTS 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


North  Caro- 
lina 
(Continued). 


Oklahoma. 


Oregon. 


Provided  nurses  ap- 
ply before  July  i, 
1912. 


obstetric  and  prac- 
tical nursing,  in- 
valid cookery,  and 
household  hygiene. 
License  granted  if 
competent. 


Applicant  to  be 
twenty-one  years 
of  age,  good  moral 
character,  one  year 
of  high-school  or  its 
equivalent,graduate 
of  training-school 
connected  with  gen- 
eral hospital  where  a 
two  years'  residence 
training  with  sys- 
tematic course  of 
instruction  is  given. 
Examination  to  be 
in  surgical,  medical, 
obstetric  nursing 
(genito-urinary  for 
male  nurses),  anat- 
omy, physiology, 
materia  medica,  hy- 
giene, and  dietetics. 
Graduates  from 
training-schools  con- 
nected with  special 
hospitals  giving  two 
years'  course,  who 
are  to  be  examined 
in  subjects  not  ade- 
quately taught  in 
their  training- 

schools.  ' 

Subjects  are  anat- 
omy, physiology, 
medicine,  obstet- 
rics, gynecology, 
surgery,  nursing, 
dietetics,  and  home 
sanitation.  All  ap- 
plicants after  July 


equivalent  of  high- 
school  education, 
graduate  of  training- 
school  connected 
with  general  hospi- 
tal or  sanitarium 
where  three  years' 
training  with  sys- 
tematic course  of 
instruction  is  given. 


Applicants  to  be 
twenty-one  years 
old,  of  good  moral 
character,  and  grad- 
uates from  training- 
schools  connected 
with  general  hospi- 
tals approved  by 
Board,  where  a  sys- 
tematic course,  cov- 
ering two  years,  is 
given. 


32 


STATE   REGISTRATION   FOR   NURSES 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Pennsyl- 

Provided nurses  ap- 

All nurses  after  June 

Applicant       to       be 

vania. 

ply  before  June  i, 

1912. 

twenty-one       years 

1912. 

old,  of  good  moral 

character,  graduate 

of      training-school 

which     gives     two 

years'  course  in  sur- 

gical   and    medical 

nursing,    or    appli- 

cant   to    have    re- 

ceived this  instruc- 

tion    in     different 

hospitals,    covering 

two  years,  and  been 

graduated. 

Rhode 

Before    January     i, 

After     January      i, 

Applicants      to      be 

Island. 

1913:       Graduates 

1913:       Graduates 

residents  of  state  or 

from    approved 

from         approved 

graduates     of     ap- 

training   -    schools 

training    -    schools 

proved     training    - 

connected  with  gen- 

connected with  gen- 

schools,    of     good 

eral,     private,     or 

eral  hospital  giving 

moral        character, 

special         hospital 

three  years'   train- 

twenty-one     years 

giving    two    years' 

ing  and  a  system- 

old,    and      possess 

training;  or  gradu- 

atic  course   of   in- 

preliminary   educa- 

ates from  approved 

struction;  or  gradu- 

tion required.     Ap- 

training   -    schools 

ates  from  approved 

plications      to      be 

that  prior  to  1904 

training    -    schools 

made     in     writing, 

gave  fifteen  months 

connected  with  pri- 

stating  their  quali- 

training. 

vate  or  special  hos- 

fications. 

pitals    giving    two 

years'  training  and 

instruction  supple- 

mented    by     one 

year's        approved 

training. 

South 

Nurses       graduated 

All  nurses  after  Jan- 

Applicant      to       be 

Carolina. 

prior  to  and   who 

uary  i,  1911.  Prior 

twenty-one      years 

apply   before   Jan- 

to this  date  nurses 

old,  of  good  moral 

uary  i,  1911;  also 

graduating       from 

character,  has  equiv- 

nurses   graduating 

special      hospitals, 

alent    of     common 

from           training- 

who  are  examined 

school       education, 

schools     connected 

in  subjects  not  ade- 

and graduate  from 

with  special  hospi- 

quately   taught   in 

training-school  con- 

tals,   approved   by 

their  schools. 

nected  with  general 

Board,  who  obtain 

hospital  giving  two 

six    months    addi- 

years' training  and 

tional  training  in  a 

systematic  course  of 

general  hospital. 

instruction. 

Tennessee. 

All  who  have  prac- 

All nurses  after  June 

Applicant    to    be    of 

tised    continuously 

i,  1911. 

good  moral  charac- 

for five  years  and 

ter,    of    legal    age, 

are  morally,  men- 

graduate    of    repu- 

REGISTRATION   REQUIREMENTS 


33 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Tennessee 
(Contimted) . 


Texas. 


Vermont. 


tally,  and  physically 
fitted,  provided  ap- 
plication be  made 
prior  to  June  i, 
191 1 ;  also  applies  to 
senior  pupils  in 
training  at  time  of 
passage  of  law. 

Those  nursing  at 
time  of  passage  of 
act,  of  good  moral 
character,  gradu- 
ated prior  to  April, 
1909,  from  train- 
ing -  schools  con- 
nected with  hospi- 
tals or  sanitariums 
giving  two  years' 
general  training,  or, 
prior  to  1901,  hav- 
ing given  eighteen 
months'  general 
training  and  who 
maintain  proper 
standards,  provided 
they  register  prior 
to  January  i,  1912; 
also  nurses  in  train- 
ing in  wards  of  a 
general  hospital  or 
sanitarium  and  in 
this  state  who  grad- 
uate hereafter;  also 
nurses  who  have 
served  in  the  army 
or  navy  of  the 
United  States  and 
been  honorably  dis- 
charged. 

Resident  nurses  who 
hold  diplomas  from 
accredited  schools, 
provided  they  grad- 
uated prior  to  Jan- 
uary i,  1911. 


Examination  in  prac- 
tical nursing,  surgi- 
cal nursing,  obstet- 
ric nursing,  ma- 
teria  medica,  anat- 
omy, physiology, 
hygiene,  dietetics, 
and  gynecology. 


Examinations  to  be 
partly  in  writing 
and  in  English  and 
partly  practical,  and 
shall  include  the 
principles  of  nurs- 
ing. Credit  to  be 
given  for  examina- 
tions in  special 
branches. 


table  training-school 
giving  two  years' 
training. 


Applications  to  be 
made  upon  blanks 
furnished  by  Board 
and  signed  and 
sworn  to  by  appli- 
cant. All  must  be 
residents  of  state, 
twenty-one  years 
old,  of  good  moral 
character,  and  grad- 
uate of  training- 
school  giving  a  two 
years'  course. 


34 


STATE   REGISTRATION   FOR   NURSES 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

Virginia. 

Those    who    gradu- 

Determined    by 

Applicant  to  be  over 

ated  from  the  train- 

Board; is  to  decide 

twenty-one      years 

ing-school  of  a  gen- 

fitness of  applicant 

old,  of  good  moral 

eral     hospital     of 

to  practice. 

character,  has  suffi- 

good standing  prior 

cient      preliminary 

to  January  i,  1904; 

education,      gradu- 

those   engaged    in 

ated  from  training- 

practice  of  profes- 

school of  a  general 

sional  nursing  when 

hospital     of     good 

act     was     passed, 

standing,  where  at 

provided     applica- 

least    two     years' 

tion  be  made  with- 

training in  the  hos- 

in   twelve    months 

pital    and    system- 

after    passage     of 

atic  courses  of  in- 

the act. 

struction  are  given. 

Washington. 

Nurses       possessing 

Examination    to    be 

Applicant  to  be  over 

necessary      qualifi- 

in    surgical     nurs- 

twenty-one years  of 

cations    and    who 

ing,         contagion, 

age,  of  good  moral 

apply  within  three 

materia       medica, 

character,     free 

years  from  the  pas- 

dietetics,    medical 

from    habits    liable 

sage  of  this  act. 

nursing,  obstetrics, 

to     interfere     with 

gynecology,     anat- 

her   services    as    a 

omy,      physiology, 

nurse,   to   hold  di- 

and hygiene. 

ploma    from    train- 

ing -  school     of     a 

reputable     hospital 

giving  not  less  than 

two  years'  training 

in  a  general  hospi- 

tal   or    instruction 

equivalent,  all  to  be 

determined    by 

Board.    Certificates 

to    be    renewed    at 

the     end     of     five 

years,  nurse  to  give 

at       least       three 

months'    notice    of 

expiration  by  regis- 

tered letter. 

West       Vir- 

Those        possessing 

Nurses  having  been 

Applicant       to       be 

ginia. 

necessary     qualifi- 

continuously     and 

twenty-one      years 

cations    and    have 

successfully     nurs- 

of age,  of  good  moral 

been    nursing    for 

ing  for  five  years 

character,    received 

ten     years     (three 

and            maintain 

the  equivalent  of  a 

registered      physi- 

proper    standards; 

high-school    educa- 

cians to  certify  to 

applications  to  be 

tion,  and  graduated 

these  facts)  ;  gradu- 

made before  Janu- 

from    a     training- 

ates     of     training- 

ary  i,  1908.  Grad- 

school      connected 

schools     connected 

uates    of    training- 

with  a  general  hos- 

with special  hospi- 

schools    connected 

pital     where     two 

tals      giving      two 

with  special  hospi- 

years'     training    is 

REGISTRATION   REQUIREMENTS 


35 


State. 

Without  Examination. 

With  Examination. 

Common  to  Both. 

West  Virginia 

years'    course    and 

tals     giving      two 

given  in  the  hospi- 

(Continued). 

who    shall    obtain 

years'   course   who 

tal  with  a  system- 

one    year's     addi- 

apply prior  to  June 

atic   course   of    in- 

tional   training    in 

i,  1907,  and  are  ex- 

struction. 

an   approved   gen- 

amined in  the  sub- 

eral   hospital;    ap- 

jects not  adequate- 

plications    to     be 

ly  taught  in  their 

made   before  June 

schools. 

i,  1907. 

Wisconsin. 

Application     to     be 

Applicants     to      be 

Applicants      to      be 

made  prior  to  Sep- 

examined by  num- 

residents   of    state, 

tember  i,  1914,  and 

bers,  not  names;  ap- 

over       twenty-one 

applicant   to   have 

plicants  who  have 

years    old,    and    of 

graduated      before 

nursed     for    three 

good  moral  charac- 

that date  from  rep- 

years, provided  ap- 

ter.     A  statement, 

utable    training    - 

plication  be  made 

on  blanks  furnished, 

school      connected 

prior  to  September 

giving  name,  place 

with  general  or  spe- 
cial hospital  giving 

i,  1914;  applicants 
who    apply   on   or 

of  birth,  and  present 
residence. 

two  years'  training. 

after  September  i, 

1914,     and     have 

graduated    from   a 

reputable  training- 

school      connected 

with  general  hospi- 

tal giving  system- 

atic course  covering 

three  or  more  years; 

also  graduates  from 

training    -    schools 

connected  with  spe- 

cial hospital  giving 

two  years'  training 

with  one  year's  ad- 

ditional training  in 

general  hospital  in 

subjects    not    ade- 

quately  taught   in 

special  hospital. 

Wyoming. 

Before  July  i,  1910: 

On  or  after  July  i, 

Applicant       to      be 

Graduates        from 

1910:       Graduates 

twenty-one      years 

training    -    schools 

from          training- 

old,  of  good  moral 

connected         with 

schools     connected 

character,  and  pos- 

general    hospitals, 

with    general    hos- 

sess     qualifications 

registered        by 

pitals,  registered  by 

prescribed  by  Board. 

Board,    course    to 

the  Board,  giving  a 

Schools  to  be  regis- 

be   at    least    two 

two  years'  course; 

tered. 

years     and    main- 

graduates        from 

tain  proper  educa- 

training   -    schools 

tional      standards; 

connected         with 

those  graduated  on 

special       hospitals 

or  before  January 

giving    two    years' 

STATE   REGISTRATION   FOR   NURSES 


State. 


Without  Examination. 


With  Examination. 


Common  to  Both. 


Wyoming 
(Continued) . 


i,  1897,  from  train- 
ing-schools con- 
nected with  general 
hospitals  giving 
one  year's  training 
and  who  have 
nursed  for  five 
years;  those  in 
training-schools  to 
be  registered  by 
Board,  and  con- 
nected with  general 
hospitals  which 
now  give  two  years' 
training,  provided 
they  graduate. 


training,  with  one 
year's  additional 
training  in  subjects 
not  adequately 
taught  in  their 
schools. 


FEES   AND  THEIR  DISPOSITION 


State. 

Fee. 

Disposition. 

Alabama. 

$2.50 

Paid  to  County  probate  judges  for  filing  certificate 

of  training-school. 

Arkansas. 

S-oo 

To  defray  expenses  of  Board;  each  member  re- 

ceives $5.00  for  each  day  actually  spent  in 

work  of  Board;  secretary  to  receive  compensa- 

tion fixed  by  Board  not  to  exceed  $300.00  a 

year;  funds  to  be  deposited  with  State  Treas- 

urer quarterly  and  drawn  upon  warrants  of  State 

Auditor,  issued  upon   requisition,  sealed   and 

signed  by  President  and  Secretary  of  Board. 

California. 

IO.OO 

State  Board  of  Health  to  control  funds,  to  deposit 

same  with  State  Treasurer,  and  report  to  con- 

troller every  month;  to  be  used  for  necessary 

expenses  to  carry  out  provisions  of  act;  claims 

against  fund  to  be  audited  by  Health  Board  and 

Board  of  Control  and  paid  by  State  Treas- 

urer upon  warrants  drawn  by  State  Controller. 

Colorado. 

10.00 

Fees  and  fines  to  defray  expenses  of  Board,  paid  to 

treasurer,  who  deposits  same  every  month  with 

State  Treasurer,  to  be  placed  in  State  Board  of 

Nurse  Examiners'  Fund;  paid  out  by  vouchers 

signed  by  president  and  secretary  of  Board  upon 

warrants  drawn  by  Auditor  of  State. 

Connecticut. 

S-oo 

To  defray  expenses;  secretary's  salary  not  to  ex- 

ceed $100.00  a  year;  funds  paid  out  upon  ap- 

proval of  president  of  Board;  secretary  to  give 

bond  for  $500.00;  annual  report  to  be  made  to 

Comptroller. 

FEES   AND   THEIR  DISPOSITION 


37 


State. 


Fee. 


Disposition. 


Delaware. 


District  of 
Columbia. 


Florida. 


Georgia. 


Idaho. 


Illinois. 


Indiana. 


Iowa. 


Kansas. 


$S-oo 


5.00 


S-oo 


S-oo 


10.00 

2.00  (for  issu- 
ance of  new 
duplicate 
certificate). 

10.00 

Under  waiver: 
5.00 


Residents     of 
state:  5.00 
Outsiders: 

10.00 

Examination 
passed:  i.oo 
S-oo 


Secretary's  salary  not  to  exceed  $50.00  per  annum, 
with  traveling  and  other  expenses  incurred  in 
discharge  of  her  duties;  others  to  receive  $5.00 
for  each  day  actually  spent  in  Board's  duties, 
with  incidental  expenses. 

To  defray  expenses;  surplus  retained  as  a  special 
fund  for  Board;  from  balance  at  end  of  year 
secretary  to  receive  $100.00  and  other  members 
$5.00  for  each  day  actually  spent  in  work  of 
Board;  funds  to  be  paid  out  upon  order  of 
Board. 

To  defray  expenses  of  Board;  secretary  to  receive 
not  more  than  $100.00  a  year,  with  traveling 
and  other  necessary  expenses;  other  members 
to  receive  $5.00  a  day  actually  spent  in  Board 
work,  with  other  necessary  expenses;  treasurer 
of  Board  sole  custodian  of  funds. 

Secretary's  salary  not  to  exceed  $100.00  a  year 
and  incidental  expenses;  other  members  to  re- 
ceive $5.00  a  day  and  expenses  for  each  day  of 
actual  service;  all  payments  to  be  approved  by 
president  of  Board. 

To  defray  expenses  of  Board;  salary  of  secretary 
to  be  fixed  by  Board  and  not  exceed  $500.00  a 
year,  with  traveling  and  other  official  expenses; 
other  members  to  get  $4.00  a  day  while  actually 
engaged  in  Board  work,  with  other  necessary 
expenses. 

To  defray  expenses  of  Board;  secretary's  salary 
to  be  fixed  by  Board;  each  member  to  receive 
$10.00  a  day  or  fraction  thereof  when  actually 
engaged  in  work  of  Board,  with  other  necessary 
expenses. 

To  defray  expenses  of  Board;  secretary  to  receive 
not  more  than  $500.00  a  year,  with  traveling  and 
incidental  expenses;  other  members  $5.00  a  day 
for  each  day  actually  spent  in  work  of  Board; 
excess  to  be  held  as  fund  for  Board. 

To  defray  expenses  of  Board;  secretary  to  receive 
his  expenses  for  services  which  cannot  be  per- 
formed at  Capitol;  other  members  to  receive 
same  per  diem  allowed  State  Board  of  Medical 
Examiners;  expenses  to  be  itemized,  verified  and 
audited,  and  paid  by  warrant. 

To  defray  expenses  of  Board;  members  to  receive 
$5.00  a  day  of  actual  Board  work,  with  other 
necessary  expenses;  secretary  to  receive  extra 
compensation  amounting  to  $100.00  a  year, 
payable  quarterly.  Secretary  to  be  custodian 
of  funds  of  Board. 


STATE   REGISTRATION   FOR   NURSES 


State. 


Fee. 


Disposition. 


Kentucky. 


Louisiana. 


Maryland. 


Massachusetts. 


$10.00 

i.oo   (renewal 
fee). 


S-oo 


5-00 


Michigan. 


Minnesota. 


Mississippi. 


S-oo 


5.00  for  grad- 
uate nurses. 

2.50  for  non- 
graduates. 


To  defray  expenses  of  Board;  funds  to  be  deposited 
with  State  Treasurer  in  special  fund;  secretary 
to  receive  between  $100.00  and  $500.00  a  year; 
other  members  to  receive  $5.00  a  day,  with  other 
necessary  expenses  actually  incurred  in  dis- 
charge of  duties. 

To  defray  expenses  of  Board;  treasurer  to  be 
custodian  of  funds;  members  to  receive  $10.00 
a  day,  with  other  necessary  expenses  actually 
incurred  in  discharge  of  duties;  secretary  to 
receive  a  salary  to  be  fixed  by  Board. 

To  defray  expenses  of  Board;  secretary  to  receive 
not  more  than  $100,00  a  year,  with  incidental 
expenses;  other  members  $5.00  for  each  day 
actually  engaged  in  Board  work,  with  traveling 
and  incidental  expenses;  excess  to  be  held  as  a 
fund  for  Board. 

Fees  to  be  paid  each  month  by  secretary  of  Board 
into  treasury  of  Commonwealth.  Secretary's 
salary  determined  by  Governor  and  Council; 
other  members  to  receive  $5.00  for  each  day  ac- 
tually spent  in  Board's  duties,  with  traveling  ex- 
penses not  to  exceed  3  cents  a  mile.  All  ex- 
penses to  be  approved  by  Board  and  paid  by 
Commonwealth  only  from  fees  paid  over  by 
Board. 

Fees  collected  to  be  deposited  quarterly  with  State 
Treasurer  and  credited  to  general  fund  of  state, 
and  a  receipt  for  same  shall  be  filed  by  secretary 
of  Board  in  office  of  the  Auditor-General.  All 
members  of  the  Board  shall  receive  $5.00  for 
each  day  actually  spent  in  Board's  work,  with 
incidental  expenses,  and  in  addition  to  this  the 
secretary  is  to  receive  $100.00  a  year,  payable 
quarterly.  Expense  statements  to  be  approved 
by  Board  and  sent  to  State  Auditor,  who  shall 
draw  his  warrant  upon  the  State  Treasurer  for 
the  amounts. 

To  defray  expenses  of  Board;  each  member  re- 
ceives $5.00  for  each  day  actually  spent  in  work 
•of  Board  and  10  cents  a  mile;  at  end  of  year  all 
in  excess  of  $250.00  shall  be  paid  to  State  Treas- 
urer to  be  kept  for  the  future  maintenance  of 
Board,  to  be  disbursed  upon  warrants  signed 
by  president  and  treasurer. 

Paid  to  State  Treasurer;  drawn  by  warrant  of 
State  Auditor  upon  written  requisition  of 
president  of  Board.  Members  to  receive  $5.00 
for  each  day  actually  spent  in  Board  duties, 
with  other  necessary  expenses. 


FEES   AND   THEIR   DISPOSITION 


39 


State. 


Fee. 


Disposition. 


Missouri. 


$  S-oo 


Montana. 


Nebraska. 


New     Hamp- 
shire. 


New  Jersey. 


New  York. 


North      Caro- 
lina. 
Oklahoma. 


Oregon. 


Pennsylvania. 


10.00 

25.00     (train- 
ing -  school 
registration 
fee). 


S-oo 


S-oo 


5-oo 


S-oo 


5.00 


Paid  quarterly  to  State  Treasurer  as  a  fund  for  the 
use  of  the  Board,  to  be  paid  by  Auditor's  war- 
rant issued  upon  requisition  signed  by  president 
and  secretary  of  Board  and  bearing  the  seal  of 
the  Board.  Members  to  receive  $5.00  for 
each  day  actually  spent  in  work  of  Board  and 
incidental  expenses;  the  secretary  to  receive 
extra  compensation  not  to  exceed  $300.00  a 
year.  The  treasurer  is  to  give  bond  in  the  sum 
of  $1000.00,  approved  by  the  Board. 

To  defray  expenses  of  Board;  secretary's  salary 
to  be  fixed  by  Board;  other  members  to  receive 
$10.00  a  day,  which  shall  be  in  full  for  ex- 
penses; treasurer  to  be  custodian  of  funds. 

Each  member  to  receive  $5.00  a  day  of  actual 
service,  10  cents  a  mile  and  incidental  expenses; 
expenses  in  no  case  to  exceed  fees  collected; 
surplus  to  be  paid  into  the  general  fund  of  the 
state. 

To  defray  expenses  of  Board;  surplus  retained  as 
special  fund  for  Board;  members  to  receive 
$5.00  a  day,  with  incidental  expenses;  Regent 
held  responsible  for  receipts  and  expenditures 
and  to  report  to  Governor  annually. 

Ta  defray  expenses  of  Board;  funds  deposited 
with  State  Treasurer;  members  to  receive  $5.00 
a  day,  with  other  necessary  expenses;  secretary's 
salary  to  be  fixed  by  Board  and  not  to  exceed 
$100.00  a  year. 

To  defray  expenses  of  Board;  report  of  receipts  and 
expenditures  to  be  made  to  State  Comptroller; 
any  balance  to  be  paid  to  State  Treasurer. 

To  defray  expenses  of  Board. 

To  defray  expenses  of  Board;  secretary's  salary 
not  to  exceed  $100.00  a  year  and  expenses; 
other  members  $4.00  a  day  of  actual  service 
with  expenses;  surplus  to  be  held  by  State 
Treasurer  for  expenses  of  Board. 

To  defray  expenses  of  Board;  secretary's  salary 
to  be  fixed  by  Board  and  shall  be  between 
$100.00  and  $500.00  a  year;  other  members 
to  receive  $4.00  a  day,  with  other  necessary 
expenses. 

Secretary's  salary  not  to  exceed  $100.00  a  year; 
all  members  to  receive  $5.00  for  each  day  actu- 
ally spent  in  work  of  Board,  with  incidental  ex- 
penses. All  money  in  excess  of  $1000.00  is  to  be 
paid  into  the  State  treasury. 


STATE   REGISTRATION   FOR   NURSES 


State. 


Fee. 


Disposition. 


Rhode  Island. 


South      Caro- 
lina. 

Tennessee. 
Texas. 


Vermont. 


Virginia. 


Washington. 


S-oo 
5.00 


S-oo 


S-oo 


S-oo 

i.oo   (renewal 
fee). 


West  Virginia. 


Wisconsin. 


Wyoming. 


S-oo 


Treasurer  shall  deposit  funds  with  State  Treasurer 
at  least  every  three  months;  paid  out  by  order 
of  State  Auditor  upon  State  Treasurer;  secre- 
tary's salary  to  be  fixed  by  Board;  other  mem- 
bers to  receive  $2.00  a  day,  with  other  necessary 
expenses. 

To  defray  expenses  of  Board. 

To  defray  expenses  of  Board. 

To  defray  expenses  of  Board;  fees  to  be  paid  to 
treasurer;  paid  out  on  vouchers  issued  and 
signed  by  president  and  secretary  upon  war- 
rants drawn  by  president. 

To  defray  expenses  of  Board;  fees  to  be  paid  an- 
nually into  State  treasury;  each  member  to 
receive  $4.00  a  day  for  actual  service,  with 
other  necessary  expenses  (mileage  not  to  exceed 
3  cents  a  mile  each  way) ;  total  sum  paid  to  one 
member  in  one  year  shall  not  exceed  $100.00. 

To  defray  expenses  of  Board;  secretary  to  receive 
not  more  than  $100.00  a  year;  other  members 
$1.00  for  each  day  actually  engaged  in  work  of 
Board;  surplus  to  be  held  by  treasurer  as  a 
special  fund  to  meet  expenses. 

To  defray  expenses  of  Board;  money  to  be  turned 
over  to  State  Treasurer  every  month,  with  state- 
ment showing  sources  from  which  money  is 
derived;  each  member  to  receive  $5.00  a  day  of 
actual  service,  with  other  necessary  expenses; 
secretary  and  treasurer  to  receive  not  over 
$100.00  a  year,  amount  to  be  determined  by 
Board;  expenses  to  be  paid  by  State  Treasurer 
upon  warrants  drawn  by  State  Auditor,  who 
issues  these  upon  presentation  of  vouchers 
approved  by  majority  of  Board. 

To  defray  expenses  of  Board;  secretary's  salary 
not  to  exceed  $100.00;  other  members  $4.00  for 
each  day  actually  spent  in  Board  work;  surplus 
held  by  treasurer  as  fund  for  Board. 

To  defray  expenses  of  Committee;  each  member 
to  receive  $5.00  a  day  of  actual  service,  with 
other  necessary  expenses;  days  are  not  to  exceed 
fifteen  in  one  year;  expense  accounts  are  to  be 
audited  by  secretary  of  State  Health  Board. 

Each  member  to  receive  $5.00  for  each  day  of  ac- 
tual service,  with  incidental  expenses;  money  to 
be  paid  to  State  Treasurer  to  be  kept  in  "  Nurses 
Fund"  and  subject  to  warrant  of  State  Auditor 
upon  written  requisition,  signed  by  president, 
vice-president,  and  attested  by  secretary  with 
seal  attached. 


EXEMPTIONS   AND    RESTRICTIONS 


Acts  exempt  persons  nursing  for  hire,  provided  they  do  not  trans- 
gress the  provisions  of  the  law. 


EXEMPTIONS  AND  RESTRICTIONS 

Arkansas 

California 

Florida 

Idaho 

Illinois 

Kansas 

Kentucky 

Louisiana 

Michigan 

Minnesota 

Mississippi 

Missouri 

Montana 

Nebraska 

New  Hampshire 

New  Jersey 

North  Carolina 

Oklahoma 

Oregon 

Pennsylvania 

Rhode  Island 

South  Carolina 

Tennessee 

Texas 

Vermont 

Virginia 

Washington 

West  Virginia 

Wisconsin 

Wyoming 

Colorado 

Connecticut 

Delaware:  Non-resident  nurse  may 

be  called  into  state  by  licensed 

physician. 

District  of  Columbia 
Georgia 
Indiana 
Iowa 
Maryland 
Massachusetts 

Montana 

New  Hampshi 

New  York  I  Acts  do  not  confer  right  to  practice  medicine  or  to  undertake 

Pennsylvania       f      treatment  or  cure  of  disease. 

Washington 

Wyoming 

Arkansas  1  Does  not  apply  to  registered  nurses  from  other  states  visit- 

Rhose  Island        >     ing  with  patients,  or  who  are  called  to  attend  cases  in  the 
South  Carolina    j      state. 

Pennsylvania:  Board  has  no  power  to  fix  prices  or  control  compensation  of  the 

registered  nurses. 
Washington:  Act  does  not  authorize  person  to  practice  surgery  or  midwifery. 


Acts  exempt  persons  nursing  for  hire  or 
otherwise,  provided  they  do  not  transgress 
the  provisions  of  the  law. 


lire 


STATE   REGISTRATION   FOR   NURSES 


VIOLATIONS 


State. 

Nature  of 
Crime. 

Fine. 

Imprisonment. 

Miscellaneous. 

Arkansas. 

Misde- 

Not less  than  $25.00 

Nurses  must  notify 

California. 

Colorado. 
Connecti- 

meanor. 

Misde- 
meanor. 

Misde- 
meanor. 

nor     more     than 

$250.00 

First  offense:  $10.00 
to  $100.00. 
Second  offense: 
$50.00  to  $500.00. 
Not      more      than 
$300.00. 
Not      more      than 

public  when  not 
registered;  other 
persons  must  have 
no  public  record 
of  unregistered 
nurses  without  so 
specifying. 

cut. 
Delaware. 

District  of 
Columbia. 
Florida. 

Georgia. 

Misde- 
meanor. 

Misde- 
meanor. 
Misde- 
meanor. 
Misde- 

$100.00. 

Not      more      than 

$500.00. 

Not      more      than 
$200.00. 
Not      more      than 
$500.00. 

Sixty  days. 

For  making  a  wilful 
false  representa- 
tion to  Board. 

Provided  for  in  the 

Idaho. 
Illinois. 

meanor. 

Misde- 
meanor. 

Misde- 

First offense:  $10.00 
to  $100.00. 
Second  offense: 
$100.00  to  $500.00 
First    offense:    Not 

Penal  Code  of 
state. 

Subject  to  prosecu- 

Indiana. 

meanor. 
Misde- 

more than  $100.00. 
Subsequent  offenses: 
Not     more     than 

$200.00. 

Not      more      than 

tion  in  any  court 
of  competent  ju- 
risdiction      upon 
complaint,    infor- 
mation, or  indict- 
ment. 
For  false  represen- 

Iowa. 
Kansas. 

meanor. 

Misde- 
meanor. 
Misde- 

$200.00. 
First  offense:  $25.00 
to  $50.00. 
Subsequent  offenses: 
$50.00  to  $100.00. 
Not      more      than 
$100.00. 
$50.00  to  $200.00. 

Thirty  days. 

tation  to  Board. 
Duty     of     county 

meanor. 

prosecutors  to 
prosecute  viola- 
tions of  this  act. 

VIOLATIONS 


43 


State. 

Nature  of 
Crime. 

Fine. 

Imprisonment. 

Miscellaneous. 

Kentucky. 

Misde- 

$5.00 to  $15.00. 

Each  day  of  viola- 

meanor. 

Not      more      than 

tion  is  a  separate 

$500.00. 

offense. 

For  false  represen- 

tation to  Board. 

Louisiana. 

Misde- 

$50.00 to  $100.00. 

Ten  to  ninety 

Or   both    fine    and 

meanor. 

days          in 

imprisonment. 

parish  jail. 

Duty  of  respective 

district   attorneys 

to  prosecute  viola- 

tions. 

Proceedings       are 

tried     by     judge 

without  interven- 

tion of  jury. 

Fines  to  be  divided 

equally     between 

school     fund     of 

parish        where 

offense  occurs  and 

Nurse  Board. 

Maryland. 

Misde- 

Not     more      than 

meanor. 

$500.00. 

Massachu- 

For practising  or  at- 

Board to  hives  tigate 

setts. 

tempting  to  do  so: 

complaints  of  vio- 

Not    more     than 

lation  and  report 

$100.00. 

to    proper   prose- 

cuting officers. 

For   false   represen- 

Three months. 

Either  or  both  fine 

tation:  $100.00  to 

and  imprisonment 

$500.00. 

may   be   inflicted 

for  false  represen- 

tation. 

Michigan. 

Misde- 

Not     more      than 

Imprisonment 

Either  or  both  fine 

meanor. 

$200.00. 

in  county  jail 

and  imprisonment 

for      ninety 

may  be  inflicted. 

days. 

Minnesota. 

Misde- 

$10.00 to  $100.00. 

meanor. 

Mississippi. 

Misde- 

$25.00 to  $100.00. 

Five  to  ninety 

Or   both    fine   and 

meanor. 

days           in 

imprisonment. 

county    jail. 

Missouri. 

Misde- 

$50.00 to  $500.00. 

meanor. 

Montana. 

Misde- 

First offense:  $10.00 

meanor. 

to  $100.00. 

Subsequent  offenses: 

$200.00  to  $500.00. 

Nebraska. 

Misde- 

$10.00 to  $100.00. 

meanor. 

44 


STATE   REGISTRATION   FOR  NURSES 


State. 

Nature  of 
Crime. 

Fine. 

Imprisonment. 

Miscellaneous. 

New 
Hamp- 
shire. 

New     Jer- 

Misde- 
meanor. 

Misde- 

Not less  than  $50.0x5. 
False  representa- 
tion:   $100.00    to 
$500.00. 
$50.00  to  $200.00. 

Duty  of  respective 

sey. 
New  York. 

meanor. 
Misde- 

prosecutors        of 
pleas  of   counties 
to  prosecute  vio- 
lations. 
When  complaint  is 

North  Car- 
olina. 
Oklahoma. 

Oregon. 

meanor. 

Misde- 
meanor. 
Misde- 
meanor. 
Misde- 
meanor. 

$50.00. 

First  offense:  $10.00 
to  $100.00. 
Subsequent  offenses: 
$100.00  to  $500.00. 
$100.00  to  $200.00. 

Thirty  days. 

made     by     State 
Nurses'     Associa- 
tion fines  shall  be 
paid  to  that  body; 
excess  of  expenses 
to    go    to    State 
Treasurer. 
Or   both    fine   and 
imprisonment. 

For  false  represen- 

Pennsyl- 

Misde- 

$50.00 to  $200.00. 

tion  to  Board. 
Nurse    is    disquali- 

vania. 
Rhode 

meanor. 

$100.00  to  $500.00. 

fied    for   registra- 
tion for  five  years. 
For  false  represen- 

Island. 

$50.00  to  $200.00. 

tation  to  Board. 
For    violating    any 

South  Car- 
olina. 

Tennessee. 

Misde- 
meanor. 

Misde- 

Not     exceeding 
$200.00. 

$25.00  to  $250.00. 

Not  exceeding 
three  months. 

provisions  of  act. 
Unlawful   for   any, 
except         Rhode 
Island    registered 
nurses,     to    wear 
their  pin  or  badge 
or  its  imitation. 
Or    both    fine    and 
imprisonment,    in 
the   discretion   of 
court. 
Unlawful   for  drug 

meanor. 

store,    doctor,    or 
other    person    to 
keep    public    list 
without        noting 
those  who  are  not 
licensed. 

VIOLATIONS 


45 


State. 

Nature  of 
Crime. 

Fine. 

Imprisonment. 

Miscellaneous. 

Texas. 
Vermont. 

Misde- 
meanor. 

Not  over  $300.00. 
$100.00  to  $500.00. 

Three  months. 

Or  both  fine  and  im- 

Not     more      than 

prisonment. 
For  attempting   to 

Virginia. 

Misde- 
meanor. 

$100.00. 

First  offense:  $50.00 
to  $200.00. 
Second          offense: 
$100.00  to  $500.00. 
$500.00  to  $1000.00. 

or    practising    as 
registered,  or  us- 
ing  abbreviations 
R.  N. 
Board  to  investigate 
complaints  and  re- 
port to  proper  au- 
thorities. 

For  false  represen- 

Washing- 
ton. 
West    Vir- 
ginia. 
Wisconsin. 

Wyoming. 

Misde- 
meanor. 
Misde- 
meanor. 
Misde- 
meanor. 
Misde- 
meanor. 

Not      more      than 
$500.00. 
$10.00  to  $50.00. 

First  offense:  $10.00 
to  $200.00. 
Subsequent  offenses: 
$100.00  to  $500.00. 
$100.00  to  $200.00 

tation. 
For  false  represen- 

tation. 

46 


State. 

Notice. 

Vote  of  Board. 

Causes  and  Results. 

Arkansas. 
California. 

Thirty  days  by 
personal     ser- 
vice or  regis- 
tered mail. 

Majority  of  en- 
tire Board. 

For     gross     incompetence,     dis- 
honesty, habitual  intemperance, 
or  any  act  derogatory  to  morals 
or  standing  of  nursing  profes- 
sion.   No     evidence     received 
except  under  oath,  which  presi- 
dent and  secretary  are  empow- 
ered to  administer. 
Name  to  be  stricken  from  roll, 
and  certificate   to  be   recalled 
and  cancelled. 
Lists  to  be  furnished  Boards  of 
other  states  upon  request. 
For     dishonesty,     intemperance, 

Colorado. 
Connecti- 

Thirty days. 

Unanimous. 

immorality,  unprofessional  con- 
duct,  or  any  habit  rendering 
nurse  unfit  or  unsafe  to  care  for 
sick. 
After  a  full  and  fair  investigation 
of  charges. 
Revoked  for  gross  incompetency, 
dishonesty,  habitual  intemper- 
ance, or  any  act  derogatory  to 
the  morals  or  standing  of  the 
profession. 
Give  full  and  fair  hearing. 
Conviction  of  felony  or  any  crime 

cut. 
Delaware. 

District   of 
Columbia. 

Florida. 
Georgia. 

Thirty  days. 
Thirty  days. 

Thirty  days. 
Thirty  days. 

Majority  vote  of 
whole  Board. 
Majority. 

Majority  vote  of 
whole  Board. 

in  the  practice  of  the  profession. 
For  sufficient  cause. 
Give  full  and  fair  hearing. 
Found  guilty  of  fraud  or  any  act 
derogatory  to  morals  and  stand- 
ing of  profession. 
Give  a  hearing. 
For  sufficient  cause  after  full  and 
fair  hearing. 
For  sufficient  cause.  No  evidence 

Idaho. 

Thirty  days  and 
in  writing. 

Unanimous. 

to  be  received  that  is  not  under 
oath. 
For  dishonesty,  gross  incompe- 
tency,  habits  rendering    nurse 
unfit  to  care  for  patient,  conduct 
derogatory  to  morals  or  stand- 
ing of  profession,  wilful  fraud  in 
getting  certificate. 
May  be  represented  by  counsel. 
Name  to  be  stricken  from  roll, 
notice  of  which  shall  be  sent  to 
county  clerk,  where  certificate  is 
recorded,   and   shall   be   noted 
upon  record  of  certificate. 

REVOCATION 


47 


State. 

Notice. 

Vote  of  Board. 

Causes  and  Results. 

Illinois. 

Thirty  days  and 

Unanimous. 

For  gross  incompetency  or  reck- 

in writing. 

lessness  in  discharge  of  duty  or 

dishonest  practises.     Notice  of 

cancellation  to  be  given  county 

clerk,  who  shall  note  same  on 

certificate.     Board    may    rein- 

state  nurse   after   six    months 

upon   satisfactory   evidence  of 

reasons  and  payment  of  fee  of 

$5.00. 

Indiana. 

Thirty  days. 

Majority. 

Revoked  for  gross  incompetency, 

dishonesty,  habitual  intemper- 

ance, or  any  other  act  derogatory 

to  the  morals  or  standing  of  the 

profession. 

Give  full  and  fair  hearing. 

Name  stricken  from  roll;  clerk  of 

circuit  court  of  county  where 

offender  resides  notified. 

Iowa. 

Twenty  days. 

Unanimous. 

False    representation,    unprofes- 

sional conduct,  and  persistent 

violation  of   the   rules  of   the 

State  Board  of  Health. 

Give  a  hearing. 

Kansas. 

Thirty  days. 

Majority     vote 

For   gross   incompetency,   viola- 

of    whole 

tion  of  law,  or  anything  deroga- 

Board. 

tory  to  profession;  charges  to 

be  in  writing. 

Lists  to  be  furnished  Boards  of 

other  states  upon  request. 

Kentucky. 

Thirty  days. 

Certificate    or    diploma    fraudu- 

lently obtained,   conviction  of 

crime,  inebriety,  drug  habit,  dis- 

honesty, gross  incompetency,  or 

any  act  derogative  to  morals  or 

standing  of  profession.    May  be 

heard  in  person  or  by  counsel. 

President    and    secretary    have 

authority    to    administer    the 

oath. 

Appeal  may  be  made  to  State 

Nurses'  Association,  whose  deci- 

sion by  a  majority  vote  is  final. 

Louisiana. 

Conviction  of  a  crime  or  immoral 

conduct. 

Board    to    institute   proceedings 

before  any  competent  court. 

Maryland. 

Thirty  days. 

Majority. 

For  sufficient  cause. 

Give  a  full  and  fair  hearing. 

Massachu- 

Majority. 

Guilty  of  felony  or  any  crime  or 

setts. 

misdemeanor  in  practice  of  pro- 

fession. Registration  cancelled. 

STATE   REGISTRATION   FOR   NURSES 


State. 

Notice. 

Vote  of  Board. 

Causes  and  Results. 

Michigan. 

Thirty  days'  no- 

Majority    vote 

For  gross  incompetency,  violation 

tice  and  certi- 

of    whole 

of  act,  dishonesty,  habitual  in- 

fied   copy    of 

Board. 

temperance,  or  any  act  deroga- 

charges to  be 

tory  to  the  morals  or  standing 

personally 

of  the  profession.    List  of  these 

served. 

to  be  given   Boards  of  other 

states  upon  request. 

Minnesota. 

Thirty  days. 

Majority. 

For  sufficient  cause. 

Give  a  hearing. 

Mississippi. 

Thirty  days. 

Majority  of  full 

For    incompetency,    dishonesty, 

Board. 

immorality,    or    unprofessional 

conduct. 

Full  and  fair  investigation.  Nurse 

to  be  heard  personally  or  repre- 

sented by  counsel.    Witnesses 

to  be  sworn  by  president  or 

secretary  of  Board.    Name  to 

be  stricken  from  roll  and  Secre- 

tary of  State  to  be  notified. 

Missouri. 

Thirty  days'  no- 

Majority   vote 

For    sufficient    cause;    Board    is 

tice  and  certi- 

of    whole 

authorized    to    furnish    list    to 

fied  charges  to 

Board. 

Boards   of   other   states    upon 

be  personally 

request. 

served. 

Montana. 

Thirty  days  and 

Governor  upon 

Hearing  before  full  Board. 

in  writing. 

recommenda- 

Charges to  be  made  by  licensed 

tion  of  Board 

physician   or   registered   nurse. 

revokes. 

For  dishonesty,   gross  incompe- 

tency, habit  rendering  nurse  un- 

fit, acts  derogatory  to  profes- 

sion, or  wilful  fraud  or  misrepre- 

sentation in  securing  certificate. 

Nurse  may  appear  in  person  or  be 

represented  by  counsel. 

Name  to  be  stricken  from  roll. 

County  clerk,  where  certificate  is 

recorded,  to  be  notified,  who  shall 

note  revocation  upon  records. 

Nebraska. 

Thirty  days. 

Majority. 

For  sufficient  cause. 

Give  full  and  fair  hearing. 

New  Hamp- 

Fourteen days. 

Regent        may 

For  sufficient  cause. 

shire. 

revoke. 

Give  a  hearing. 

New     Jer- 

Thirty days  by 

Unanimous. 

For  dishonesty,   gross  incompe- 

sey. 

copy  of  com- 

tency,   habit    rendering    nurse 

plaints. 

unfit,    conduct    derogatory    to 

morals  or   standing  of  profes- 

sion, or  wilful  fraud  or  misrepre- 

sentation in  procuring  certificate. 

May  appear  in  person  or  be  rep- 

resented by  counsel. 

Any  who  attempt  to  practice  as 

registered  are  subject  to  penal- 

ties under  violation. 

REVOCATION 


49 


State. 

Notice. 

Vote  of  Board. 

Causes  and  Results. 

New  York. 

For  sufficient  cause. 

North 
Carolina. 

Twenty  days. 

Majority. 

For  gross  incompetency,  dishon- 
esty, habitual  intemperance,  or 

any   other   act    derogatory   to 

morals  or  standing  of  profes- 

sion. 

Give  a  full  and  fair  hearing. 

License  to  be  surrendered. 

Oklahoma. 

Thirty  days. 

Majority   of 

For  sufficient  cause. 

whole  Board. 

Give  a  full  and  fair  hearing. 

Oregon. 

Thirty  days  and 

Unanimous. 

For  dishonesty,  gross  imcompe- 

in  writing. 

tency,  habit  rendering  nurse  un- 

fit, conduct  derogatory  to  morals 

or  standing  of  profession  or  wil- 

ful fraud  or  misrepresentation 

in  securing  certificate. 

Name  to  be  stricken  from  roll  and 

certificate  cancelled. 

County  clerk,  where  certificate  is 

recorded,   to  be  notified,  who 

shall     note     revocation     upon 

records. 

Pennsyl- 

Thirty days  and 

Unanimous. 

For  sufficient  cause.   Name  to  be 

vania. 

a      copy      of 

stricken  from  roll  of  registered 

charges. 

nurses. 

Give  full  and  fair  hearing. 

Rhode    Is- 

Thirty days. 

For  gross  incompetency,  dishon- 

land. 

esty,  habitual  intemperance,  or 

any  habit  or  act  derogatory  to 

profession. 

Nurse    shall   be    entitled    to   be 

present  and  be  heard. 

Certificate  to  be  surrendered  to 

Board  and  name  to  be  stricken 

from  roll. 

South 

Thirty  days. 

Majority   of 

For    sufficient    cause,    of    which 

Carolina. 

whole  Board. 

Board  shall  be  judge. 

Give  full  and  fair  hearing. 

Counsel  may  appear  for  either 

party. 

Tennessee. 

Thirty  days,  by 

For    drunkenness,     drug    habit, 

mail    or    per- 

neglect of  patient,   felony,   in- 

sonally      de- 

competency, or  immorality. 

livered. 

Hearing  to  be  given. 

Correct  record  of  hearing  to  be 

kept. 

STATE   REGISTRATION   FOR  NURSES 


State. 

Notice. 

Vote  of  Board. 

Causes  and  Results. 

Texas. 

Thirty  days  and 

Unanimous. 

Revoked  for  gross  incompetency, 

in  writing. 

dishonesty,  habitual  intemper- 

ance, or  any  other  act  deroga- 

tory to  morals  or  standing  of 

profession. 

Given  a  hearing. 

Appeal  from  decision  of  Board 

can  be  taken  to  district  of  the 

county  where  any  member  of 

Board  resides. 

Vermont. 

Majority. 

Give  a  hearing. 

For  being  guilty  of  a  crime  or  mis- 

demeanor. 

Certificate  to  be  cancelled. 

Virginia. 

Thirty  days. 

Unanimous. 

Revoked  for  gross  incompetency, 

dishonesty,   habitual  in  temper- 

ance, or  any  other  act  derogatory 

to  morals  or  standing  of  nursing. 

Give  a  full  and  fair  hearing. 

Name  to  be  stricken  from  roll. 

Washington 

Thirty  days. 

Majority  of 

Certificate  obtained  by  fraud,  and 

whole  Board. 

any  act  derogatory  to  morals 

or  standing  of  profession. 

Give  a  full  and  fair  hearing. 

Certificate  cancelled. 

West    Vir- 

Thirty days. 

Majority. 

For  sufficient  cause. 

ginia. 

Give  a  hearing. 

Wisconsin. 

Not    less    than 

For  unprofessional  or  dishonor- 

five days  and 

able  conduct,  obtaining  certifi- 

in writing. 

cate    through    fraud,    or   gross 

incompetency. 

Give  a  hearing. 

Wyoming. 

Thirty  days. 

Unanimous. 

For  dishonesty,   gross  incompe- 

tency, a  habit  rendering  a  nurse 

unsafe  to  be  entrusted  with  or 

unfit  for  the  care  of  the  sick, 

conduct     derogatory     to     the 

morals  or  standing  of  the  pro- 

fession of  nursing,  or  any  wilful 

fraud      or      misrepresentation 
practised  in  procuring  a  certifi- 

cate.    Given    a    hearing    with 

counsel.    Name  taken  from  the 

roll,  and  county  clerk  of  county 

where    certificate    is    recorded 

notified. 

COMPULSORY   LAWS 


RECIPROCITY 

Arkansas 

California — Foreign  countries  included. 

Florida 

Idaho 

Illinois — Higher  standards,  too;  requires  ap- 
proval of  Attorney-General. 

Kansas 

Kentucky — Foreign  country  included. 

Louisiana — Requires  certificate  of  examination. 

Minnesota 

Mississippi 

Missouri 

Montana 

Nebraska 

New  Hampshire 

New  Jersey — To  states  that  give  same  privileges 
to  it. 

North  Carolina 

Oklahoma 

Oregon 

Rhode  Island 

Texas 

Vermont 

Virginia 

Washington 

Wisconsin 

Wyoming 

Colorado 

Delaware 

District  of  Columbia 

Indiana — Can  take  measures  to  prevent  unjust 
exclusion  of  its  registered  nurses  by  other 
states. 

Iowa 

Alabama 

Connecticut 

Georgia 

Maryland 

Massachusetts 

New  York 

Pennsylvania 

South  Carolina 

Tennessee 

West  Virginia 


^  With  those  states  that,  at  least, 
maintain  equal  standards. 


Board  can  establish  rules  and 
regulations  for  recognition  of 
those  states  that,  at  least, 
maintain  equal  standards. 


No  provision  in  laws  of  these  states. 


Arkansas 

Kansas 

Kentucky 

Mississippi 

Montana 

Oklahoma 

Tennessee 

Texas 

Virginia 

Wyoming 


COMPULSORY  LAWS 


These  laws  make  it  unlawful  either  to  assume  title,  indicate 
to  be,  or  practice  as  trained,  graduate,  or  registered  nurse, 
without  a  li cense  from  the  controlling  Board. 


52  STATE   REGISTRATION   FOR   NURSES 

COMPULSORY  LAWS  (Continued) 

Delawa  'e  These  laws  make  it  unlawful  either  to  assume  title,  indicate  to  be' 

>     or  practice  as  trained  or  graduate,  in  addition  to  registered  nurse» 
r       ,  without  a  license  from  the  controlling  Board. 

RECORDING  CERTIFICATES 

Arkansas:  With  Clerk  of  County  where  nurse  resides. 

Idaho:  With  Clerk  of  County  where  nurse  resides. 

Illinois:  Within  ninety  days;  with  Clerk  of  County  where  nurse  resided  when  ap- 
plication was  made. 

Indiana:  With  Clerk  of  Circuit  Court  of  any  County. 

Kansas:  With  Clerk  of  County  where  nurse  resided  when  application  was  made; 
affidavit  of  identity  necessary. 

Kentucky:  With  Clerk  of  County  where  nurse  resided  when  application  was  made. 

Louisiana:  With  Clerk  of  County  where  nurse  resides. 

Michigan:  With  Clerk  of  County  where  nurse  resides. 

Missouri:  With  Clerk  of  County  where  nurse  resides;  in  St.  Louis  with  Recorder 
of  Deeds  and  with  an  affidavit  of  identity;  for  non-resident  of  state:  with  Clerk  of 
county  where  training-school  is  located  and  with  Recorder  of  Deeds  in  St.  Louis. 

Montana:  Within  thirty  days;  with  Clerk  of  County  where  nurse  resides,  or  in 
which  nurse  removes;  no  fee  to  be  required. 

New  Jersey:  Within  sixty  days;  with  Clerk  of  County  where  nurse  resided  when 
application  was  made. 

New  York:  With  Clerk  of  County  where  nurse  resides;  to  be  recorded  every  three 
years  after  January,  1906. 

North  Carolina:  By  Clerk  of  Superior  Court,  who  grants  certificate  upon  presenta- 
tion of  license  from  Nurse  Board. 

Oregon:  Within  thirty  days;  with  Clerk  of  County  where  nurse  resided  when  ap- 
plication was  made. 

Tennessee:  With  Clerk  of  County  Court  of  County  where  nurse  resides. 

Vermont:  Within  sixty  days;  in  office  of  Secretary  of  State;  affidavit  of  identity 
necessary. 

Wisconsin:  Within  thirty  days;  with  Clerk  of  County  where  nurse  resided  when 
application  was  made. 

Wyoming:  Within  ninety  days;  with  Clerk  of  County  where  nurse  resided  when 
application  was  made. 

MISCELLANEOUS 

Alabama:  Before  a  training-school  can  issue  diplomas,  its  president  and  three 
lecturers  or  instructors,  who  shall  be  practising  physicians,  shall  file  a  statement 
of  their  course  with  State  Health  Officer.  If  approved,  a  certificate  shall  be 
issued  to  the  institution,  which  must  be  filed  with  the  Probate  Judge  of  the 
County  where  the  institution  is  located. 

California:  Defines  an  accredited  training-school  for  nurses  as  one  attached  to,  or 
operated  in  connection  with,  one  or  more  hospitals  giving  a  general  training  and 
a  systematic,  theoretical,  and  practical  course  covering  three  years. 

Connecticut:  Applicant  aggrieved  by  decision  of  the  Nurse  Board  may  within 
thirty  days  appeal  to  a  Board  composed  of  one  member  from  the  Connecticut 
Medical  Society,  one  member  from  the  Connecticut  Homeopathic  Medical  Society, 
and  one  member  from  the  Connecticut  Eclectic  Medical  Society.  This  Board 
of  appeal  may  affirm,  modify,  or  reverse  the  decision  appealed  from,  and  its 
decision  shall  be  final  and  binding  upon  all  parties.  First  Board,  appointed  by 
Governor,  is  to  hold  office  until  the  societies  shall  appoint  their  successors. 

1  Owing  to  Amendment,  law  is  not  now  compulsory. 


MISCELLANEOUS  53 

Florida:  Board  shall  be  sole  judge  of  credentials  of  any  nurse  admitted  to  regis- 
tration. 

Illinois:  An  appeal  from  certain  rulings  of  Board  may  be  made  to  Circuit  Court. 
Registered  nurses  are  exempt  from  jury  duty.  Applications  under  the  old  law 
are  to  be  recognized  by  the  Board  appointed  under  the  new  law. 

Kansas:  Defines  trained  nurse  as  one  who  has  a  diploma  from  a  chartered  training- 
school  and  is  entitled  to  registration. 

Kentucky:  Board  may  refuse  to  issue  a  certificate  for  same  reasons  given  for  revo- 
cation. In  case  of  refusal,  suspension,  or  revocation  an  appeal  may  be  made  to 
the  State  Nurses'  Association,  whose  decision  by  a  majority  vote  is  final. 

Michigan :  Registered  nurses  shall  furnish  a  certificate  of  good  health  from  a  regis- 
tered physician,  showing  that  he  or  she  is  free  from  tuberculosis  or  any  specific 
or  infectious  disease;  said  certificate  to  be  renewed  semi-annually.  Board  has 
power  to  appoint  a  registered  nurse  training-school  inspector,  who  has  had  five 
years'  experience,  three  years  of  which  were  spent  as  superintendent  of  a  recog- 
nized training-school. 

Mississippi:  Non-graduates  are  registered  as  licensed  attendants.  Nurses  registered 
in  other  states  may  practice  in  special  cases  without  being  required  to  register. 

Montana:  An  appeal  from  decision  of  Board  can  be  made  to  State  Nurses'  Associa- 
tion, whose  decision  by  majority  vote  is  final. 

North  Carolina:  State  Nurses'  Association  makes  out  the  certificate  form. 

Oklahoma:  Training-schools  shall  give  the  systematic  instruction  required  by  the 
Board. 

Oregon:  Board  to  be  sole  judges  of  credentials  of  nurse  to  be  registered  without 
examination. 

Rhode  Island:  Pin  or  badge  to  be  adopted  for  registered  nurses  to  wear.  Define 
"approved"  to  mean  approved  by  Board. 

South  Carolina:  Beginning  of  Section  2  makes  law  compulsory,  but  second  proviso 
negatives  this.  Revoked  nurse  may  appeal  to  Circuit  Court  of  County  in  which 
she  resides  and  to  Supreme  Court. 

Wisconsin:  Nurse  whose  certificate  was  revoked  for  gross  incompetency  may  have  it 
regranted  after  one  year  at  the  discretion  of  the  Board  of  Health.  Defines 
training-school  as  one  connected  with  a  general  hospital  requiring  a  systematic 
course  of  instruction  covering  three  or  more  years.  First  two  years  shall  be  spent 
in  training-school  or  hospital,  and  not  more  than  three  months  of  the  senior  year 
shall  be  devoted  to  outside  nursing.  Instruction  shall  be  both  theoretical  and 
practical  in  following  branches:  Nursing,  ethics,  anatomy,  physiology,  hygiene, 
dietetics,  materia  medica,  elementary  urinalysis,  medical,  surgical,  gynecologic, 
and  obstetric  nursing,  including  care  of  infants,  theoretical,  and  practical,  if 
possible,  in  contagious  diseases  and  care  of  sick  children. 


FULL  TEXT  OF  LAWS 
ALABAMA 

Be  It  Enacted  by  the  Legislature  of  Alabama: 

SECTION  i.  That  any  incorporated  educational  institution  or  society  engaged 
in  teaching  and  training  its  pupils  in  the  science  and  art  of  nursing  the  sick,  and 
which  shall  give  hospital  practice  and  training  at  a  hospital  maintaining  not  less 
than  twenty  beds,  and  shall  have  such  course  of  instruction  as  may  be  approved 
by  the  State  Health  Officer  may,  upon  obtaining  and  filing  the  certificate  of  ap- 
proval of  said  State  Health  Officer,  and  recording  the  same  as  provided  in  Section 
2  thereof,  issue  to  the  student  pursuing  said  course  of  instruction  on  hospital  train- 
ing, certificate  of  proficiency  and  diplomas  and  may  confer  the  degree  of  graduate 
nurse. 

SEC.  2.  Be  it  further  enacted,  that  before  such  institution  or  society  shall  issue 
diplomas  or  certificates  of  proficiency  or  confer  such  degree,  the  president  of  such 
institution  or  society  and  three  lecturers  or  instructors  thereof,  who  shall  be  prac- 
tising physicians,  shall  file  with  the  State  Health  Officer  a  verified  statement, 
containing  a  list  of  the  lecturers  and  instructors,  the  subjects  taught,  and  the 
nature  and  amount  of  hospital  training  received  at  said  institution  or  society,  and 
if  said  State  Health  Officer  shall  approve  such  verified  statement,  he  shall  issue  to 
such  institution  a  certificate  to  the  effect  that  he  has  examined  such  verified  state- 
ment and  approved  the  same,  which  said  certificate  shall  be  recorded  by  the  probate 
judge  of  the  county  where  said  institution  or  society  is  located,  upon  the  payment 
of  a  fee  of  $2.50. 

ARKANSAS 

Be  It  Enacted  by  the  General  Assembly  of  the  State  of  Arkansas: 

SECTION  i.  That  a  Board  to  be  known  as  The  Board  of  Nurse  Examiners  for 
Arkansas  is  hereby  created  and  established.  Said  Board  shall  be  composed  of  six 
(6)  members,  to  be  appointed  by  the  Governor  of  the  State  as  hereinafter  provided, 
four  (4)  of  whom  shall  be  graduate,  trained  nurses,  and  two  (2)  of  whom  shall  be 
physicians. 

Within  thirty  (30)  days  after  the  taking  effect  of  this  Act,  the  Arkansas  Graduate 
Nurses'  Association  shall,  through  its  President  and  Secretary,  submit  to  the 
Governor  a  list  containing  the  names  of  six  (6)  physicians  of  good  standing  in  this 
State,  and  the  names  of  twelve  (12)  graduate,  trained  nurses.  Each  nurse,  whose 
name  shall  thus  be  submitted,  shall  be  at  least  twenty-three  (23)  years  of  age,  of 
good  moral  character,  a  graduate  from  a  training-school  connected  with  a  general 
hospital  or  sanitarium  of  good  standing  where  not  less  than  a  two  (2)  years'  course 
is  given  in  the  wards,  and  shall  have  had  not  less  than  three  (3)  years'  actual  prac- 
tice in  the  profession. 

From  the  list  so  submitted,  the  Governor  shall,  within  thirty  (30)  days  after 
the  receipt  thereof,  appoint  one  (i)  physician  and  two  (2)  nurses  to  hold  offices  on 
the  said  Board  for  two  (2)  years  from  May  i,  1913,  and  one  (i)  physician  and  two  (2) 
nurses  to  hold  offices  on  said  Board  for  four  (4)  years  from  May  i,  1913.  There- 
after, every  second  year,  and  during  the  month  of  April  just  prior  to  the  expira- 
tion of  the  respective  terms  of  office,  the  Governor  shall  appoint  as  successors 

54 


FULL   TEXT    OF   LAWS  55 

thereto  one  (i)  physician  and  two  (2)  nurses  to  hold  offices  on  said  Board  for  four 
(4)  years,  said  appointments  to  be  made  from  lists,  submitted  by  the  said  Arkansas 
Graduate  Nurses'  Association,  of  not  less  than  three  nominations  for  each  office, 
provided,  that  the  nurses  whose  names  shall  hereafter  be  placed  in  nomination  by  the 
said  Association  shall  be  registered  and  licensed  under  the  provisions  of  this  Act, 
and  shall  in  all  other  respects  fulfil  the  requirements  herein  set  forth. 

SEC.  2.  Vacancies  occurring  on  said  Board  shall  be  filled  for  the  unexpired 
terms  by  appointments  to  be  made  by  the  Governor  from  like  nominations  to  be 
furnished  him  by  the  said  Association,  provided,  that  if  said  nominations  are  not 
submitted  within  thirty  (30)  days  after  the  vacancy  occurs  the  Governor  may  ap- 
point as  a  successor  to  such  office  on  said  Board  such  person,  fulfilling  the  above 
requirements,  as  to  him  seems  best. 

SEC.  3.  The  members  of  the  said  Board  shall,  before  entering  upon  the  duties  of 
said  office,  take  the  oath  prescribed  by  the  Constitution  for  State  Officers,  and  shall 
file  the  same  in  the  office  of  the  Secretary  of  State,  who  shall  thereupon  issue  to  such 
person  so  appointed  a  certificate  of  such  appointment. 

SEC.  4.  The  members  of  the  Board  shall,  within  thirty  (30)  days  after  their 
appointment,  organize  by  electing  one  of  their  number  as  President  of  the  Board, 
and  another  as  Secretary,  who  shall  also  be  the  Treasurer  of  said  Board.  The 
officers  so  elected  shall  hold  offices  for  a  period  of  one  (i)  year,  or  until  their  suc- 
cessors are  elected  and  have  qualified.  The  election  of  officers  thereafter  shall  be 
held  annually  in  the  month  of  May,  and  in  case  of  a  vacancy  in  either  of  said  offices 
the  Board  shall,  within  forty  (40)  days  after  the  vacancy  occurs,  elect  one  of  its 
members  to  fill  said  office  till  the  next  regular  election,  provided,  that  in  case  no  such 
election  be  held  within  the  time  stated  the  Governor  shall  appoint  a  member  of 
said  Board  to  such  office  for  the  unexpired  term. 

SEC.  5.  The  Secretary  shall  certify  to  the  Governor  after  each  election  the 
names  of  the  offices  elected,  and  shall  also  notify  the  Governor  in  case  of  a  vacancy 
on  said  Board  or  in  the  office  of  President.  In  case  of  a  vacancy  in  the  office  of 
Secretary  the  President  shall  certify  the  fact  to  the  Governor,  and  in  like  manner 
shall  certify  to  the  Governor  the  name  of  the  person  chosen  by  the  Board  to  fill 
said  office,  if  one  be  so  chosen. 

SEC.  6.  The  Secretary  shall  keep  a  record  of  the  minutes  of  the  meetings  of 
said  Board,  and  a  record  of  the  names  of  all  persons  making  application  for  regis- 
tration under  the  provisions  of  this  Act,  together  with  the  action  of  the  Board 
thereon.  The  Secretary  shall  also  keep  a  roll  of  the  names  of  all  nurses  who  have 
been  registered  and  licensed  by  said  Board  to  practice  the  profession  under  this 
Act.  Said  records  shall  at  all  reasonable  times  be  open  for  public  inspection. 

SEC.  7.  All  fees  for  the  examination,  registration,  and  licensing  of  nurses  here- 
under  shall  be  paid  to  the  Treasurer  of  the  Board,  who  shall  issue  receipts  therefor, 
and  the  same  shall  be  deposited  by  said  Treasurer  quarterly  in  the  treasury  of  the 
State,  and  there  credited  to  and  designated  for  the  use  of  the  said  Board  of  Nurse 
Examiners  for  Arkansas.  The  Secretary  shall  make  a  good  and  sufficient  bond 
unto  the  State  of  Arkansas  for  the  faithful  performance  of  such  duties  as  may  be 
required  of  him  or  her  as  Secretary  and  Treasurer  of  said  Board,  in  a  sum  and  with 
such  security  as  the  Board  shall  deem  proper. 

SEC.  8.  The  compensation  of  the  members  of  said  Board  shall  be  at  the  rate  of 
five  ($5.00)  dollars  per  day,  for  each  day  actually  engaged  in  attending  meetings 
of  said  Board,  provided,  that  the  Secretary  may  receive  such  extra  compensation 
for  services  rendered  as  the  Board  shall  deem  reasonable,  which  amount,  however, 
shall  not  exceed  the  sum  of  three  hundred  ($300.00)  dollars  per  annum. 

SEC.  9.  All  salaries  of  members  and  officers  of  said  Board,  and  all  other  ex- 
penses, proper  and  necessary  in  the  opinion  of  the  Board  to  the  discharge  of  its 
duties  under  and  to  enforce  this  Act,  shall  be  paid  out  of  such  funds  as  shall  be 
deposited  by  said  Secretary  and  Treasurer  of  the  Board  in  the  treasury  of  the  State 
for  the  use  of  said  Board,  upon  warrants  of  the  Auditor  of  the  State,  issued  upon  the 


56  STATE   REGISTRATION   FOR   NURSES 

requisition  of  the  President,  and  attested  by  the  Secretary  under  the  seal  of  said 
Board,  provided,  that  no  salary  or  expense  of  said  Board  shall  ever  be  paid  out  of  any 
fund  or  funds  of  the  State. 

SEC.  10.  During  the  month  of  April  each  year  the  President  and  Secretary 
shall  file  with  the  Governor  a  complete  report  of  the  actions  of  the  Board,  and  shall 
likewise,  annually,  in  the  month  of  April,  file  in  the  office  of  the  Secretary  of 
State  a  certified  list  of  the  names  of  all  persons  who  have  been  registered  and  licensed 
to  practice  the  profession  under  the  provisions  of  this  Act.  The  treasurer  shall 
also  during  the  month  of  April  each  year  file  with  the  Governor  and  the  office  of 
the  Secretary  of  State  a  certified  statement  of  the  receipts  and  disbursements  for 
the  year. 

SEC.  ii.  The  Board  is  authorized  to  make  suitable  By-Laws  for  carrying  out 
its  duties  under  the  provisions  of  this  Act,  to  fix  the  time  for  holding  its  regular 
meetings  for  the  examination  of  applicants,  to  have  an  official  seal,  which  shall 
bear  the  words,  "The  Board  of  Nurse  Examiners  for  Arkansas." 

SEC.  12.  The  certificate  of  the  Secretary  of  said  Board  under  said  seal  shall 
be  accepted  in  the  courts  of  the  State  as  the  best  evidence  as  to  the  minutes  of  said 
Board,  and  shall  likewise  be  accepted  in  the  courts  of  this  State  as  the  best  evidence 
as  to  the  registration  or  non-registration  of  any  person  under  the  requirements  of 
this  Act. 

SEC.  13.  It  shall  be  the  duty  of  the  Board  to  meet  regularly  once  in  every  six 
months,  for  the  purpose  of  examining  applicants,  and  special  meetings  for  examina- 
tions shall  be  called  by  the  Secretary  upon  the  written  request  of  three  members  of 
said  Board.  Four  members  shall  constitute  a  quorum  at  any  meeting  of  said 
Board.  Notice  of  the  meetings  for  the  purpose  of  examining  applicants  shall  be 
given  at  least  thirty  (30)  days  prior  thereto  by  publication  in  a  daily  newspaper  of 
general  circulation  in  the  State,  and  in  a  Nurses'  Journal.  The  Secretary  shall,  not 
less  than  ten  days  prior  to  the  date  of  said  meetings,  also  mail  a  written  or  printed 
notice  of  such  meetings  to  each  applicant  whose  name  shall  have  been  properly  filed 
with  said  Secretary,  and  no  applicant  shall  be  examined,  or  issued  a  certificate  or 
license,  unless  said  applicant's  name  shall  have  been  filed  with  said  Secretary  not 
less  than  fifteen  (15)  days  before  the  date  of  said  examination. 

SEC.  14.  The  Board  shall  have  power  to  revoke  any  certificate,  or  license,  issued 
in  accordance  with  this  Act,  upon  the  affirmative  vote  of  a  majority  of  the  entire 
Board,  for  gross  incompetence,  dishonesty,  habitual  intemperance,  or  any  other  act 
derogatory  to  the  morals  or  standing  of  the  nursing  profession,  provided,  that  before 
any  certificate,  or  license,  shall  be  revoked,  the  holder  thereof  shall  be  given  at  least 
thirty  (30)  days  notice  in  writing  of  the  charge  or  charges  against  him  or  her,  and 
of  the  time  and  place  of  the  hearing  and  determining  of  such  charge  or  charges,  at 
which  time  and  place  he  or  she  shall  be  allowed  to  be  heard  with  witnesses.  Said 
notice  may  be  given  by  personal  service,  or  by  registered  mail,  in  which  latter  case, 
the  signed  return  receipt  card  shall  be  accepted  as  evidence  of  service.  The  Presi- 
dent and  Secretary  of  the  Board  are  authorized  to  administer  oaths  to  persons  giving 
testimony  at  such  hearings,  and  no  evidence  shall  be  received  at  such  hearings  except 
it  be  under  oath. 

SEC.  15.  Upon  the  revocation  of  any  certificate,  or  license,  by  the  Board,  as 
outlined  in  the  preceding  section,  the  Secretary  shall  strike  the  name  of  such  person 
from  the  records  of  said  Board,  and  shall  note  the  revocation,  together  with  the 
time  of  and  the  cause  for  same,  upon  the  record.  The  Board  is  authorized  to  recall 
and  cancel  the  certificate,  or  license,  of  any  person  whose  name  shall  have  thus 
been  stricken  from  the  records  of  the  Board,  and  may  employ  such  means  for  secur- 
ing the  return  of  the  same  as  the  circumstances  warrant.  The  Secretary  is  author- 
ized to  furnish  certified  copies  of  the  records  of  the  Board  as  to  the  registration  or 
non-registration,  or  the  cancellation  of  the  certificate,  or  license,  of  any  person,  to 
the  Secretary  of  a  similar  Board  in  another  State,  upon  the  written  request  for  the 
same. 


FULL   TEXT   OF   LAWS  57 

SEC.  1 6.  All  persons  desiring  to  practice  professional  nursing  in  this  State 
shall  make  application  to  said  Board  in  the  manner  provided  by  this  Act  and  the 
By-Laws  or  rules  of  said  Board,  and  shall  deposit  with  the  Secretary  at  the  tune 
of  making  application  for  registration  the  sum  of  five  ($5.00)  dollars,  as  an  exami- 
nation fee,  which  shall  in  no  case  be  returned,  whether  the  examination  be  passed 
or  not,  but  in  case  the  applicant  passes  the  examination  to  the  satisfaction  of  the 
Board  then  no  further  fee  will  be  charged  for  registration. 

SEC.  17.  Before  any  person,  except  those  herein  specifically  excepted,  shall 
be  given  a  certificate,  or  license,  to  practice  professional  nursing  in  this  State,  such 
person  shall  be  required  to  undergo  an  examination  to  be  given  by  said  Board 
touching  applicant's  qualifications  as  a  graduate  nurse,  and  shall  pass  the  same  to 
the  satisafction  of  the  majority  of  said  Board.  The  examination  to  be  given  such 
applicants  by  said  Board  shall  be  of  such  character  as  to  determine  the  fitness  of 
said  applicant  to  practice  professional  nursing  as  contemplated  in  this  Act,  and 
shall  be  upon  the  following  subjects:  Practical  nursing,  surgical  nursing,  obstetrical 
nursing,  hygiene,  contagion,  diet  cooking,  materia  medica,  anatomy,  physiology, 
gynecology,  care  of  children  and  urinary  analysis,  genito-urinary  being  also  given 
to  male  nurses.  If  the  result  of  the  examination  be  satisfactory  to  a  majority  of 
the  Board,  the  President  and  Secretary  shall  sign  and  issue  to  such  applicant  a 
certificate  to  that  effect,  which  said  certificate  shall  license  the  holder  thereof  to 
practice  professional  nursing  in  this  State  as  a  registered  nurse.  If  the  applicant 
fails  to  pass  the  examination,  he  or  she  may  take  a  second  examination  at  the  next 
regular  meeting  of  the  Board  without  being  required  to  pay  an  additional  fee,  but 
in  no  case  shall  more  than  two  examinations  be  given  an  applicant  upon  the  pay- 
ment of  one  fee. 

SEC.  18.  After  May  i,  1914,  all  applicants,  except  the  undergraduate  nurses 
now  in  training  hereinafter  mentioned,  shall  be  required  to  be  at  least  nineteen 
(19)  years  of  age,  and  shall  possess  a  literary  education  equivalent  to  the  course 
given  in  the  eighth  grade  of  the  public  schools  of  the  State. 

SEC.  19.  All  graduate  nurses  who  are  engaged  in  nursing  at  the  time  of  the 
passage  of  this  Act,  or  who  have  been  so  engaged  within  five  years  prior  thereto  and 
who  shall  show  to  the  satisfaction  of  the  Board  that  he  or  she  is  of  good  moral 
character,  and  was  graduated  from  a  training-school  connected  with  a  hospital  or 
sanitarium  giving  a  two  years'  general  training  course,  and  who  in  other  respects 
meets  the  requirements  of  this  Act,  shall  be  entitled  to  be  registered  and  given  a 
certificate,  or  license,  without  examination,  provided,  that  written  application  to  be 
so  registered  and  licensed  be  filed  by  such  person  with  the  Secretary  of  said  Board 
within  ninety  (90)  days  after  the  organization  of  the  Board,  said  application  to  be 
accompanied  by  an  affidavit,  setting  out  applicant's  preparatory  training  and  ex- 
perience, and  a  deposit  of  five  ($5.00)  dollars  as  a  registration  fee. 

SEC.  20.  Any  registered  nurse  from  any  other  State,  where  the  laws  with  ref- 
erence to  professional  nursing  are  up  to  the  standard  set  out  in  this  Act,  who  shall 
show  to  the  satisfaction  of  the  Board  that  he  or  she  is  registered  in  such  other 
State  and  a  graduate  from  a  hospital  training-school  where  the  standard  of  training 
and  instruction  shall  meet  the  requirements  prescribed  by  said  Board,  who  shall 
otherwise  be  qualified  under  the  provisions  of  this  Act,  and  any  nurse  who  shall 
have  served  in  the  Army  or  Navy  of  the  United  States,  and  shall  have  been 
honorably  discharged  therefrom,  shall  be  entitled  to  be  registered  without 
examination  upon  the  payment  of  the  registration  fee  herein  mentioned,  appli- 
cation having  been  made  in  the  manner  prescribed  by  the  rules  or  By-Laws  of 
said  Board. 

SEC.  21.  All  undergraduate  nurses  who  are  now  in  training  in  the  wards  of 
a  general  hospital  or  sanitarium  of  this  State  where  a  two  years'  course  of  system- 
atic instruction  is  given,  and  shall  hereafter  graduate  therefrom,  and  shall  possess 
the  other  qualifications  prescribed  in  this  Act,  shall  be  entitled  to  be  registered 
and  licensed  without  examination,  provided,  that  they  shall  make  application  to 


58  STATE   REGISTRATION   FOR   NURSES 

said  Board,  in  the  manner  herein  outlined  for  graduate  nurses,  within  ninety  (90) 
days  after  their  graduation. 

SEC.  22.  Every  person  receiving  a  certificate,  or  license,  from  said  Board  shall 
have  such  certificate,  or  license,  recorded  in  the  office  of  the  County  Clerk  of  the 
county  in  which  such  person  resides,  and  shall  pay  to  such  clerk  the  sum  of  fifty 
cents  for  recording  the  same. 

SEC.  23.  Any  person  who  shall  have  complied  with  the  provisions  of  this  Act, 
and  shall  have  received  a  certificate,  or  license,  from  said  Board,  shall  be  styled 
and  known  as  a  registered  nurse,  and  shall  be  entitled  to  append  the  letters  "R. 
N."  to  his  or  her  name.  No  other  person  shall  assume  or  use  such  title,  or  use  the 
abbreviation  "R.  N.,"  or  any  other  letters  to  indicate  that  he  or  she  is  a  trained, 
graduate,  or  registered  nurse. 

SEC.  24.  When  any  person  shall  append  the  letters  "R.  N."  to  his  or  her 
name,  or  shall  use  other  letters,  figures,  or  signs  to  indicate  that  he  or  she  is  a 
trained,  graduate,  or  registered  nurse,  it  shall  be  prima  facia  evidence  of  practicing 
the  profession  as  a  trained,  graduate,  or  registered  nurse  within  the  meaning  of 
this  Act. 

SEC.  25.  It  shall  be  unlawful  for  any  person  to  practice  professional  nursing 
in  this  State,  as  a  trained,  graduate,  or  registered  nurse,  without  first  complying 
with  the  provisions  of  this  Act  and  receiving  from  said  Board  of  Nurse  Examiners 
for  Arkansas  the  certificate,  or  license,  herein  provided  for. 

SEC.  26.  It  shall  be  unlawful  for  any  person,  not  having  the  certificate,  or 
license,  in  this  Act  mentioned,  to  advertise  to  the  public  as  a  nurse,  or  to  allow  his 
or  her  name  to  be  placed  on  a  public  record  or  list  in  a  drug  store,  or  in  the  office 
of  a  physician,  or  elsewhere,  as  a  nurse,  unless  such  advertisement,  or  list,  or  record, 
shall  also  state  that  such  nurse,  or  persons,  are  not  registered. 

SEC.  27.  It  shall  be  unlawful  for  any  drug  store  proprietor,  physician,  or  other 
person  to  publicly  keep  a  record  or  list  of  the  names  of  nurses,  not  registered  and 
licensed  as  herein  provided,  unless  such  list  or  record  shall  also  state-  that  such 
nurses  or  persons  are  "not  registered." 

SEC.  28.  The  violation  of  any  of  the  provisions  of  section  26,  27  or  28  of  this 
Act  shall  be  deemed  a  misdemeanor,  and  any  person  found  guilty  thereof  shall  be 
punished  by  a  fine  of  not  less  than  $25.00  nor  more  than  $250.00,  for  each  offense. 

SEC.  29.  This.  Act  shall  not  be  construed  to  affect  or  apply  to  or  prevent  the 
gratuitous  nursing  of  the  sick  by  friends  or  members  of  the  family,  or  to  any  person 
nursing  the  sick  for  hire  who  does  not  in  any  way  advertise,  assume,  charge,  or 
claim  to  be  a  registered,  graduate,  or  trained  nurse,  or  to  registered  nurses,  residents 
of  other  States,  who  visit  this  State  as  companions  or  nurses  for  residents  of  other 
States,  temporarily  sojourning  here,  or  to  registered  nurses  from  other  States  called 
to  attend  cases  in  this  State  by  physicians  of  this  State. 

SEC.  30.  In  the  opinion  of  the  General  Assembly  an  emergency  exists.  There- 
fore, this  Act  shall  take  effect  and  be  in  force  from  and  after  its  passage. 

CALIFORNIA 

The  people  of  the  State  of  California  do  enact  as  follows: 

SECTION  i.  Within  thirty  days  after  this  act  takes  effect  the  State  Board  of 
Health  shall  establish  and  maintain  a  department  of  examination  and  registration 
of  graduate  nurses,  as  hereinafter  provided.  The  State  Board  of  Health  shall  appoint 
a  director,  whose  salary  shall  be  fixed  by  the  Board,  and  said  director  shall  have 
been  graduated  from  an  accredited  training-school  for  nurses,  as  defined  in  this 
Act,  and  shall  be  duly  registered  under  the  provisions  of  this  Act.  Said  director 
shall  perform  all  duties  required  by  this  Act,  and  such  other  duties  as  may  be  re- 
quired by  the  State  Board  of  Health,  in  order  to  carry  out  the  objects  and  purposes 
of  this  Act.  Lists  of  accredited  training-schools  for  nurses  and  a  register  of  the 


FULL   TEXT   OF   LAWS  59 

names  of  all  nurses  duly  registered  under  this  Act  shall  be  prepared  and  kept  by  the 
department.  An  annual  report  shall  be  prepared  and  filed  before  January  first  of 
each  year. 

SEC.  2.  It  shall  be  the  duty  of  said  Board  to  meet  regularly  once  in  every  six 
months  for  the  purpose  of  holding  examinations  under  the  provisions  of  this  Act. 
Public  notice  of  such  meetings  shall  be  given  by  publishing  the  same  at  least  two 
weeks  prior  to  the  date  of  each  meeting  in  two  papers  of  general  circulation,  and 
in  one  nursing  journal.  Upon  filing  application  for  examination  each  applicant 
shall  pay  an  examination  fee  of  ten  dollars,  which  shall  in  no  case  be  returned  to 
the  applicant.  No  further  fee  shall  be  required  for  registration.  At  such  meetings 
it  shall  be  the  duty  of  the  Board  to  examine  all  such  applicants  for  registration 
under  this  Act  and  to  issue  to  each  duly  qualified  applicant  who  shall  have  com- 
plied with  the  requisite  provisions  of  this  Act  and  who  shall  have  passed  a  satis- 
factory examination,  a  certificate  provided  for  in  this  act. 

SEC.  3.  All  applicants  for  registration  shall  be  registered  without  examination; 
provided,  they  make  application  prior  to  July  i,  1914,  and  have  graduated  before 
said  date  from  a  reputable  training-school  connected  with  a  general  hospital. 

SEC.  4.  On  and  after  July  i,  1914,  no  person  shall  be  eligible  for  examina- 
tion or  for  registration  as  a  registered  nurse  who  shall  not  furnish  satisfactory 
evidence  of  having  been  graduated  from  an  accredited  training-school  for  nurses. 
An  accredited  training-school  for  nurses  within  the  meaning  of  this  Act  is  hereby 
defined  to  be  a  school  for  the  training  of  nurses  attached  to  or  operated  in  connec- 
tion with  a  hospital  or  hospitals  giving  a  general  training  and  a  systematic,  theo- 
retical and  practical  course  of  instruction  covering  a  period  of  at  least  three  years. 
All  applicants  for  examination  must  furnish  satisfactory  evidence  of  good  moral 
character,  and  of  having  complied  with  the  provisions  of  this  Act  relative  to  quali- 
fying. 

SEC.  5.  A  nurse  who  has  received  his  or  her  certificate  according  to  the  pro- 
visions of  this  Act,  shall  be  styled  and  known  as  a  registered  nurse,  and  shall  be 
entitled  to  place  the  initials  "R.  N."  after  his  or  her  name. 

SEC.  6.  This  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  or  to  any  person  nursing 
the  sick  for  hire  who  does  not  in  any  way  assume  to  be,  or  practice  as  a  registered 
nurse. 

SEC.  7.  It  shall  be  unlawful  for  any  person  not  holding  a  certificate  of  regis- 
tration issued  by  the  State  Board  of  Health  to  use  the  title  "registered  nurse"  or  the 
letters  "R.  N.,"  in  connection  with,  or  following  his  or  her  name,  or  to  impersonate 
in  any  manner,  or  pretend  to  be,  a  "registered  nurse." 

SEC.  8.  The  Board,  upon  written  application,  and  upon  the  receipt  of  ten 
dollars  as  registration  fee,  shall  issue  a  certificate  of  registration  without  examina- 
tion to  any  applicant  who  has  been  duly  registered  as  a  registered  nurse  under  the 
laws  of  another  state  or  foreign  country  having  requirements  equivalent  to  those 
provided  for  by  this  act. 

SEC.  9.  The  Board  shall  have  the  power  to  revoke  any  certificate  of  registra- 
tion for  dishonesty,  intemperance,  immorality,  unprofessional  conduct,  or  any 
habit  rendering  a  nurse  unfit  or  unsafe  to  care  for  the  sick,  after  a  full  and  fair 
investigation  of  the  charges  preferred  against  the  accused. 

SEC.  10.  Any  person  violating  any  of  the  provisions  of  this  Act  shall  be  guilty 
of  a  misdemeanor,  and  shall  upon  conviction  be  fined  not  less  than  ten  dollars 
nor  more  than  one  hundred  dollars  for  the  first  offense  and  not  less  than  fifty  dollars 
nor  more  than  five  hundred  dollars  for  each  subsequent  offense. 

SEC.  ii.  Within  ten  days  after  the  beginning  of  each  month  the  secretary  of 
the  State  Board  of  Health  shall  report  to  the  controller  the  amount  and  source  of 
all  collections  made  under  the  provisions  of  this  Act,  and  at  the  same  time  all  such 
amounts  shall  be  paid  into  the  State  treasury,  and  shall  be  placed  to  the  credit  of 
the  special  fund  to  be  known  as  the  fund  for  examination  and  registration  of  nurses. 


60  STATE   REGISTRATION   FOR   NURSES 

All  amounts  paid  into  this  fund  shall  be  held  subject  to  the  order  of  the  State  Board 
of  Health,  to  be  used  only  for  the  purpose  of  meeting  necessary  expenses  in  the 
performance  of  the  special  duties  imposed  by  this  Act.  Claims  against  the  fund 
shall  be  audited  by  the  State  Board  of  Health  and  by  the  Board  of  Control,  and  shall 
be  paid  by  the  State  Treasurer  upon  warrants  drawn  by  the  State  Controller. 

COLORADO 

AN  ACT  RELATING  TO  PROFESSIONAL  NURSING 

Be  It  Enacted  by  the  General  Assembly  of  the  State  of  Colorado: 

SECTION  i .  That  within  sixty  days  after  the  taking  effect  of  this  Act,  the  Gover- 
nor of  the  State  shall  appoint  a  State  Board  of  Nurse  Examiners,  to  be  composed 
of  five  members.  Each  of  the  members  of  said  Board  so  appointed  by  the  Gover- 
nor shall  be  a  trained  nurse  of  at  least  twenty-three  (23)  years  of  age,  of  good  moral 
character,  who  is  a  graduate  from  a  training-school,  connected  with  a  general  hos- 
pital or  sanitarium  of  good  standing,  where  a  three  years'  training  with  a  systematic 
course  of  instruction  is  given  in  the  wards;  one  of  the  members  of  said  Board  shall 
be  designated  by  the  Governor  to  hold  office  for  one  year,  one  for  two  years,  one  for 
three  years,  one  for  four  years,  and  one  for  five  years,  and  thereafter  upon  the 
expiration  of  the  term  of  office  of  the  person  so  appointed,  the  Governor  shall 
appoint  a  successor  to  each  person  to  hold  office  for  five  years,  each  of  whom  shall 
be  a  registered  nurse  under  the  provisions  of  this  Act,  and  shall  fulfil  the  require- 
ments in  this  section  set  forth. 

SEC.  2.  That  the  members  of  said  Board  shall,  as  soon  as  organized,  annually 
in  the  month  of  April,  elect  from  their  members  a  president  and  a  secretary,  who 
shall  also  be  the  treasurer.  Three  members  of  this  Board  shall  constitute  a  quorum, 
and  special  meetings  of  said  Board  shall  be  called  by  the  secretary  upon  the  written 
request  of  any  two  members.  The  Board  is  authorized  to  make  su£h  by-laws  and 
rules  as  shall  be  necessary  to  govern  its  proceedings  and  to  carry  into  effect  the  pur- 
pose of  this  Act.  The  secretary  shall  be  required  to  keep  a  record  of  all  the  meetings 
of  said  Board,  including  a  register  of  the  names  of  all  nurses  duly  registered  under 
this  Act,  which  shall  at  all  reasonable  times  be  open  to  public  scrutiny,  and  said 
Board  shall  cause  the  prosecution  of  all  persons  violating  any  of  the  provisions 
of  this  Act,  and  may  incur  necessary  expenses  on  that  behalf.  That  the  president 
and  secretary  shall  make  a  biennial  report  to  the  Governor  on  the  second  Monday 
of  December,  immediately  preceding  the  convening  of  the  Legislature,  together  with 
a  statement  of  the  receipts  and  disbursements  of  said  Board. 

SEC.  3.  That  after  April,  1907,  it  shall  be  the  duty  of  said  Board  to  meet  regu- 
larly once  in  every  six  (6)  months,  notice  of  which  meeting  shall  be  given  to  the 
public  press  and  in  one  nursing  journal  one  month  previous  to  the  meeting.  At 
every  regular  meeting,  namely,  every  six  months,  it  shall  be  the  duty  of  the  Board 
to  examine  all  applicants  for  registration  under  this  Act.  Upon  filing  application 
for  examination,  each  applicant  shall  pay  an  examination  fee  of  ten  ($10.00)  dollars, 
which  shall  in  no  case  be  returned  to  the  applicant,  whether  the  examination  be  passed 
or  not,  but  in  case  the  applicant  pass  the  examination,  then  no  further  fee  shall  be  re- 
quired for  registration.  The  examination  shall  be  of  such  a  character  as  to  determine 
tie  fitness  of  the  applicant  to  practice  professional  nursing  as  contemplated  by  this 
Act.  If  the  result  of  the  examination  shall  be  satisfactory  to  a  majority  of  the 
Board,  the  Board  shall  sign  and  issue  a  certificate  to  the  applicant  to  that  effect, 
which  certificate  shall  be  attested  by  the  secretary;  whereupon,  the  person  named 
in  the  certificate  shall  be  duly  qualified  to  practice  professional  nursing  in  this 
state.  Any  registered  nurse  from  any  other  state,  where  the  laws  with  reference  to 
professional  nursing  are  up  to  the  standard  of  the  laws  of  the  state  of  Colorado,  who 
shall  show  to  the  satisfaction  of  the  Board  that  he  or  she  is  a  trained,  graduate 


FULL   TEXT   OF   LAWS  6 1 

nurse  of  a  hospital  or  sanitarium,  the  standard  of  instruction  and  training  of  which 
shall  meet  the  requirements  of  the  rules  prescribed  by  the  said  Board,  and  who 
shall  be  otherwise  properly  qualified,  may  receive  a  certificate  and  be  registered  as 
a  nurse  of  this  state,  without  examination. 

SEC.  4.  That  all  nurses  who  are  engaged  in  nursing  at  the  time  of  the  passage 
of  this  Act,  and  who  shall  show  to  the  satisfaction  of  said  Board  that  they  are  of 
good  moral  character  and  were  graduated  prior  to  April,  1906,  from  a  training- 
school  connected  with  a  hospital  or  sanitarium,  giving  two  years'  general  training, 
or  prior  to  the  year  1901,  having  given  eighteen  months'  general  training,  and 
who  maintain  in  other  respects  proper  standards,  shall  be  entitled  to  registration 
without  examination.  All  persons  who  are  in  training  in  the  wards  of  a  general 
hospital  or  sanitarium  in  this  State,  where  a  two  years'  training  with  a  systematic 
course  of  instruction  is  given  at  the  time  of  the  passage  of  this  Act,  and  shall  grad- 
uate hereafter,  and  possess  the  above  qualifications,  shall  be  entitled  to  registration 
without  examination,  provided  such  application  be  made  to  this  Board  before 
April,  1909.  All  nurses  who  have  served  in  the  army  or  navy  of  the  United  States, 
and  have  been  honorably  discharged,  shall  be  entitled  to  be  registered  without 
examination.  It  shall  be  unlawful  hereafter  for  any  person  to  practice  nursing  as  a 
trained,  graduate,  or  registered  nurse  without  a  certificate  from  the  State  Board  of 
Nurse  Examiners.  A  nurse  who  has  received  his  or  her  certificate  according  to  the 
provisions  of  this  Act  shall  be  styled  and  known  as  a  "Registered  Nurse."  No 
other  person  shall  assume  such  title  nor  use  the  abbreviation  "R.  N.,"  or  any  other 
letters  to  indicate  that  he  or  she  is  a  trained,  graduate,  or  registered  nurse.  The 
Board  in  each  instance  shall  require  a  registration  fee  of  ten  (10)  dollars. 

SEC.  5.  That  State  Board  of  Nurse  Examiners  shall  have  the  power  to  revoke 
any  certificate  issued  in  accordance  with  this  Act  by  unanimous  vote  of  said  Board 
for  gross  incompetence,  dishonesty,  habitual  intemperance,  or  any  act  derogatory 
to  the  morals  or  standing  of  the  profession  of  nursing,  as  may  be  determined  by  the 
Board;  but  before  any  certificate  shall  be  revoked  the  holder  thereof  shall  be  entitled 
to  at  least  thirty  days'  notice  in  writing  of  the  charge  against  him  or  her,  and  of 
the  time  and  place  of  hearing  and  determining  of  such  charges,  at  which  time  and 
place  he  or  she  shall  be  entitled  to  be  heard.  Upon  the  revocation  of  any  certifi- 
cate, it  shall  be  the  duty  of  the  secretary  of  the  Board  to  strike  the  name  of  the 
holder  thereof  from  the  roll  of  registered  nurses. 

SEC.  6.  All  fees  received  by  the  State  Board  of  Nurse  Examiners,  and  all  fines 
collected  under  this  Act,  shall  be  paid  to  the  treasurer  of  said  Board,  who  shall,  at 
the  end  of  each  and  every  month,  deposit  the  same  with  the  State  Treasurer,  and 
the  said  State  Treasurer  shall  place  said  money  so  received  in  a  special  fund,  to  be 
known  as  the  fund  of  the  State  Board  of  Nurse  Examiners,  and  shall  pay  the  same 
out  on  vouchers  issued  and  signed  by  the  president  and  secretary  of  said  Board, 
upon  warrants  drawn  by  the  Auditor  of  the  State  therefor.  All  moneys  so  received 
and  placed  in  said  fund  may  be  used  by  the  State  Board  of  Nurse  Examiners  in 
defraying  its  expenses  in  carrying  out  the  provisions  of  this  Act. 

SEC.  7.  This  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous  nurs- 
ing of  the  sick  by  friends  or  members  of  the  family,  or  to  any  person  nursing  the 
sick  for  hire  who  does  not  in  any  way  assume  the  practice  as  a  trained,  graduate,  or 
registered  nurse. 

SEC.  8.  That  any  person  violating  the  provisions  of  this  Act,  or  who  shall  make 
any  false  representations  to  said  Board  in  applying  for  a  certificate,  shall  be  guilty 
of  a  misdemeanor,  and  upon  conviction  be  punished  by  a  fine  of  not  more  than 
three  hundred  ($300.00)  dollars. 

SEC.  9.  In  the  opinion  of  the  General  Assembly  an  emergency  exists;  therefore, 
this  Act  shall  take  effect  and  be  in  force  from  and  after  its  passage. 


62  STATE   REGISTRATION   FOR   NURSES 

CONNECTICUT 

AN  ACT  REGULATING  THE  PRACTICE  OF  PROFESSIONAL  NUKSING  OF  THE  SICK 

Be  It  Enacted  by  the  Senate  and  House  of  Representatives  in  General  Assembly  Con- 
vened: 

SECTION  i.  From  and  after  July  i,  1905,  there  shall  be  a  Board  of  Examination 
and  Registration  of  Nurses,  composed  of  five  members,  appointed  by  the  Governor, 
and  all  vacancies  in  said  Board  shall  be  filled  by  the  Governor  in  like  manner. 
The  members  of  said  Board  shall  be  residents  of  the  state  of  Connecticut  and  shall 
be  practical  nurses,  each  of  whom  shall  be  a  graduate  of  a  training-school  for  nurses 
which  gives  a  two  years'  course  in  a  general  hospital,  and  shall  have  had  at  least 
eight  years'  experience  in  professional  nursing  of  the  sick.  Each  member  shall  be 
appointed  for  a  term  of  three  years  from  the  date  when  appointment  shall  take  effect, 
except  those  first  appointed,  who  shall  serve  as  follows:  one  for  one  year,  two  for 
two  years,  and  two  for  three  years  from  the  date  their  appointments  take  effect, 
respectively,  and  except  a  person  appointed  to  fill  a  vacancy,  who  shall  be  appointed 
for  the  unexpired  term. 

SEC.  2.  Said  Board  shall,  at  the  first  meeting  thereof,  and  at  the  annual  meet- 
ing which  shall  be  held  on  the  first  Wednesday  in  June,  1906,  and  on  the  first  Wednes- 
day in  June  in  each  year  thereafter,  elect  from  its  own  number  a  president  and  a 
secretary,  who  shall  also  be  treasurer.  Said  Board  may  adopt  a  seal,  and  may  adopt 
such  by-laws,  rules,  and  regulations  for  the  transaction  of  the  business  of  the  Board 
and  the  government  and  management  of  its  affairs,  not  inconsistent  with  the 
laws  of  this  state  and  of  the  United  States,  as  it  may  deem  expedient.  Three  mem- 
bers of  said  Board  shall  constitute  a  quorum,  and  special  meetings  shall  be  called 
upon  request  of  any  two  members.  On  request  of  said  Board  the  comptroller  shall 
provide  a  suitable  room  in  the  Capitol  for  its  meetings. 

SEC.  3.  The  members  of  said  Board  shall  receive  their  actual  necessary  ex- 
penses incurred  in  the  discharge  of  their  duties,  and  the  secretary  shall  receive  a 
salary  to  be  fixed  by  the  Board,  not  to  exceed  one  hundred  dollars  per  year.  Said 
expenses  and  said  salary  shall  be  paid  out  of  the  receipts  of  said  Board  as  hereinaf- 
ter specified. 

SEC.  4.  At  a  meeting  of  said  Board  to  be  held  within  sixty  days  after  the  ap- 
pointment of  the  members  thereof,  and  at  the  annual  meeting  in  each  year  there- 
after, and  at  such  special  meetings  as  said  Board  may  deem  necessary  to  hold  for 
that  purpose,  notice  of  each  of  which  meetings  shall  be  given  by  publication  in 
such  newspapers  as  the  Board  may  determine  at  least  one  month  previous  to  such 
meetings,  said  Board  shall  examine  all  applicants  for  registration  under  the  pro- 
visions of  this  Act  to  determine  their  qualifications  for  the  efficient  nursing  of  the 
sick,  and  shall  decide  upon  the  qualifications  of  every  such  applicant  and  give  notice 
of  such  decision  within  three  months  from  the  date  of  such  examination.  Any 
person  twenty-one  years  of  age  or  over,  and  of  good  moral  character,  who  shall  show 
to  the  satisfaction  of  the  Board  that  he  or  she  is  a  graduate  of  a  training-school 
for  nurses  which  gives  a  two  years'  course  in  a  public  or  private  hospital  where 
medical,  surgical,  and  obstetrical  cases  are  received  and  treated,  or  has  had  such 
experience  as  said  Board  shall  find  to  be  equivalent  thereto,  shall  be  eligible  for 
such  examination  upon  payment  of  a  fee  of  five  dollars,  to  be  deposited  upon  the 
filing  of  the  application  for  examination.  Said  examination  shall  include  the 
subjects  of  elementary  anatomy  and  physiology,  medical,  surgical,  and  obstetrical 
nursing,  dietetics,  and  home  sanitation.  If  such  applicant  shall  pass  said  exami- 
nation to  the  satisfaction  of  the  Board,  said  Board  shall  issue  a  certificate  of 
registration  to  said  applicant. 

SEC.  5.  Any  person  twenty-one  years  of  age  or  over,  and  of  good  moral  charac- 
ter, applying  for  registration  within  two  years  from  the  passage  of  this  Act,  and 


FULL   TEXT   OF   LAWS  63 

who  shall,  by  affidavit  or  otherwise,  show  to  the  satisfaction  of  the  Board  that  he 
or  she  is  a  graduate  of  a  training-school  for  nurses  which  gives  a  two  years'  course 
in  a  public  or  private  hospital  where  medical,  surgical,  and  obstetrical  cases  are 
received  and  treated,  or  that  he  or  she  was,  at  the  passage  of  this  Act,  a  student  in 
such  training-school  for  nurses  and  afterward  was  graduated  therefrom,  or  has 
had  such  other  experience  as  said  Board  shall  find  to  be  equivalent  thereto,  shall 
be  eligible  for  registration  without  examination,  upon  payment  of  a  fee  of  five  dol- 
lars. Any  applicant  aggrieved  by  the  decision  of  the  Board  on  such  application  or  on 
examination  may  appeal  therefrom  to  a  Board  to  be  composed  of  one  member 
from  each  of  the  following  state  medical  societies:  The  Connecticut  Medical  Society, 
The  Connecticut  Homeopathic  Medical  Society,  and  the  Connecticut  Eclectic 
Medical  Association.  Such  appeal  shall  be  in  writing,  and  shall  be  filed  with  said 
Board  of  Examination  and  Registration  of  Nurses  within  thirty  days  after  the  an- 
nouncement of  the  decision  complained  of,  which  Board  shall  forthwith  transmit 
the  same  to  said  Board  of  appeal.  Said  Board  of  appeal  shall  hear  and  determine 
such  appeal  with  all  reasonable  dispatch,  may  affirm,  modify,  or  reverse  the  decision 
appealed  from,  and  shall  certify  its  action  to  said  Board  of  Examination  and  Regis- 
tration of  Nurses,  which  Board  shall  take  such  action  as  may  be  necessary  to  carry 
out  the  decision  of  the  Board  of  appeal,  which  decision  shall  be  final  and  binding  on 
all  parties.  The  members  of  said  Board  of  appeal  shall  be  appointed,  in  the  first 
instance,  by  the  Governor,  before  August  i,  1907,  such  appointees  to  hold  office 
from  the  date  of  their  appointment  until  the  said  societies  shall  respectively  appoint 
the  members  of  the  said  Board  of  appeal.  The  time  within  which  any  person  may 
apply  for  registration  under  the  provisions  of  Section  5  of  said  chapter  as  amended  by 
Section  2  of  this  Act  is  hereby  extended  for  the  period  of  sixty  days  from  and  after 
the  passage  of  this  Act. 

SEC.  6.  Said  Board  may  cancel  the  registration  of  any  person  who  has  been 
convicted  of  any  felony,  or  of  any  crime  or  misdemeanor  in  the  practice  of  the 
profession  of  nursing. 

SEC.  7.  It  shall  be  unlawful,  after  two  years  from  the  passage  of  this  Act,  for 
any  person  to  practice  professional  nursing  in  this  state  as  a  registered  nurse  with- 
out having  a  certificate  of  registration.  A  nurse  who  has  received  such  certificate 
shall  be  styled  and  known  as  a  "  Registered  Nurse,"  and  no  other  person  shall  assume 
such  title,  or  use  the  abbreviation  "R.  N.,"  or  any  other  words,  letters,  or  figures  to 
indicate  that  the  person  using  the  same  is  such  a  registered  nurse.  Every  person 
who  shall  violate  any  provision  of  this  act,  or  who  shall  wilfully  make  false  represen- 
tation to  said  Board  in  applying  for  a  certificate  of  registration,  shall  be  fined  not 
more  than  one  hundred  dollars ;  provided,  that  nothing  in  this  Act  shall  be  held  to 
apply  to  the  acts  of  any  person  nursing  the  sick  who  does  not  represent  himself  or 
herself  to  be  a  registered  nurse.  The  Board  shall  cause  to  be  presented  to  the  proper 
prosecuting  officer  evidence  of  any  violation  of  the  provisions  of  this  Act  and  may  in- 
cur any  necessary  expenses  in  the  performance  of  this  duty,  said  expenses  to  be  paid 
out  of  the  receipts  of  said  Board. 

SEC.  8.  All  fees  collected  by  said  Board  under  the  provisions  of  this  Act  shall 
be  paid  to  the  secretary  of  the  Board,  and  said  secretary  shall  pay  from  the  moneys 
so  received,  upon  approval  of  the  president,  the  salary  of  said  secretary  and  the 
necessary  expenses  of  the  members  as  provided  in  Section  3  of  this  Act,  also  for 
books,  stationery,  and  other  necessary  expenses  of  the  Board;  provided,  that  said 
Board  shall  create  or  incur  no  expense  exceeding  the  sum  received  from  time  to 
time  as  fees  under  the  provisions  of  this  Act.  The  secretary  shall,  before  taking 
office,  give  to  the  state  a  bond,  with  surety,  conditioned  for  the  faithful  performance 
of  the  duties  of  said  office,  in  the  penal  sum  of  not  less  than  five  hundred  dollars; 
and  shall  also  keep  an  account  of  all  moneys  received  and  expended  as  aforesaid, 
and  shall  render  a  detailed  statement  thereof  to  the  comptroller  on  or  before  July 
i  in  each  year.  The  secretary  shall  also  submit  to  the  Governor,  on  or  before 
July  i  hi  each  year,  a  general  statement  of  the  work  of  the  Board  for  the  year  pre- 


64  STATE   REGISTRATION   FOR   NURSES 

ceding,  including  therein  a  statement  of  the  number  of  applicants  received  during 
the  year,  the  number  approved,  and  the  number  rejected. 
SEC.  9.    This  Act  shall  take  effect  from  its  passage. 

DELAWARE 

AN  ACT 

Be  it  Enacted  by  the  Senate  and  House  of  Representatives  of  the  State  of  Delaware  in 
General  Assembly  met: 

SECTION  i.  That  from  and  after  the  passage  of  this  Act  the  Delaware  State 
Association  of  Graduate  Nurses  shall  nominate  for  examiners  ten  of  its  members 
who  have  not  had  less  than  three  years'  experience  in  their  profession  and  four  regu- 
lar licensed  physicians,  two  from  each  of  the  two  leading  schools  of  medicine.  These 
nominations  shall  be  submitted  to  the  Governor  of  the  State,  who  shall,  from  the 
said  number,  appoint  within  thirty  days  a  Board  of  Examiners,  to  be  composed  of 
two  regular  licensed  physicians,  one  from  each  of  the  two  leading  schools  of  medi- 
cine, and  three  nurses  who  have  had  at  least  three  years  active  practice.  One 
of  the  members  of  this  Board  shall  be  designated  by  the  Governor  to  hold  office 
for  one  year,  two  for  two  years,  and  two  for  three  years;  and  hereafter,  upon  the 
expiration  of  the  term  of  office  of  the  person  or  persons  so  appointed,  the  Governor 
shall  appoint  a  successor  or  successors  to  each  person  or  persons,  to  hold  office  for 
three  years,  from  a  list  of  five  nominations  to  be  submitted  to  him  annually  by  the 
Delaware  State  Association  of  Graduate  Nurses.  All  vacancies  occuring  on  this 
Board  shall  be  filled  by  the  Governor  in  the  same  manner  from  a  list  of  nominations 
furnished  him,  or  from  a  list  of  six  to  be  furnished  upon  his  request  for  additional 
names. 

SEC.  2.  That  the  members  of  this  State  Board  of  Examiners  shall,  as  soon  as 
organized,  and  annually  thereafter  in  the  month  of  June,  elect  from  their  members 
a  president,  and  a  secretary  who  shall  be  the  treasurer.  Three  members  of  this 
Board  shall  constitute  a  quorum,  and  special  meetings  of  the  Board  shall  be  called 
by  the  secretary  upon  written  request  of  any  two  members.  The  said  Board  of 
Examiners  is  authorized  to  frame  such  By-Laws  as  may  be  necessary  to  govern 
its  proceedings.  The  secretary  shall  be  required  to  keep  a  record  of  all  meetings 
of  the  Board,  including  a  register  of  the  names  of  all  nurses  duly  registered  under 
this  Act,  which  shall  at  all  reasonable  times  be  opened  to  public  scrutiny,  and  the 
Board  shall  cause  the  prosecution  of  all  persons  violating  any  of  the  provisions  of 
this  Act,  and  may  incur  necessary  expenses  on  this  behalf.  The  secretary  shall 
receive  a  salary  to  be  fixed  by  the  Board,  not  to  exceed  fifty  dollars  per  annum, 
also  traveling  and  other  expenses  incurred  in  the  discharge  of  his  or  her  official 
duties.  'The  other  members  of  the  Board  shall  receive  five  dollars  for  each  day 
actually  engaged  in  this  service,  and  all  legitimate  and  necessary  expenses.  Said 
expenses  and  salaries  shall  be  paid  from  fees  received  by  the  Board  under  the  pro- 
visions of  this  Act,  and  no  part  of  salaries  or  other  expenses  of  the  Board  shall  be 
paid  out  of  the  State  Treasury.  All  moneys  received  in  excess  of  the  said  allowance, 
and  other  expenses  provided  for,  shall  be  held  by  the  treasurer  for  meeting  the 
expenses  of  the  said  Board  and  the  cost  of  annual  reports  for  the  Board. 

SEC.  3.  That  after  June  i,  A.  D.  1911,  it  shall  be  the  duty  of  said  Board 
of  Examiners  to  meet  not  less  frequently  than  once  in  every  year,  notice  of  which 
meeting  shall  be  given  in  the  public  press  and  in  one  Nursing  Journal  one  month 
previous  to  the  meeting.  At  this  meeting  it  shall  be  their  duty  to  examine  all 
applicants  for  registration,  under  this  Act,  to  determine  their  fitness  and  ability 
to  give  efficient  care  of  the  sick.  Upon  filing  application  for  examination  and  regis- 
tration, each  applicant  shall  deposit  a  fee  of  five  dollars. 

SEC.  4.    That  the  apph'cant  shall  furnish  satisfactory  evidence  that  he  or  she 


FULL   TEXT   OF   LAWS  65 

is  twenty-one  years  of  age,  is  of  good  moral  character,  and  has  graduated  from  a 
training-school  connected  with  a  general  hospital  where  three  years  of  training 
with  a  systematic  course  of  instruction  is  given  in  the  hospital,  and  after  June  i, 
A.  D.  191 1,  that  he  or  she  has  received  the  equivalent  of  a  high-school  education, 
or  shall  pass  an  examination  in  collateral  subjects  satisfactory  to  said  Board. 

SEC.  5.  That  all  nurses  graduating  before  June  i,  A.  D.  1911,  possessing  the 
above  qualifications,  shall  be  permitted  to  register  without  examination  upon 
payment  of  registration  fee.  Nurses  who  shall  show  to  the  satisfaction  of  the  Board 
of  Examiners  that  they  are  graduates  of  training-schools  connected  with  a  general 
hospital  or  sanatorium,  giving  two  years  training  prior  to  the  year  1898,  shall  be 
entilted  to  registration  without  examination,  provided  such  application  be  made 
before  June  i,  A.  D.  1911.  Graduates  of  training-schools  in  connection  with  special 
hospitals,  giving  a  two  years'  course,  who  shall  obtain  one  year's  additional  training 
in  an  approved  general  hospital,  shall  be  eligible  for  registration  without  examina- 
tion before  June  i,  A.  D.  1911,  or  said  graduates  shall  be  eligible  for  registration 
prior  to  said  date  upon  passing  a  special  examination  before  the  Board  of  Examiners 
in  subjects  not  adequately  taught  in  the  training-schools  from  which  they  have 
graduated.  And  it  shall  be  unlawful,  after  the  passage  of  this  Act,  for  any  person 
to  practice  nursing  as  a  graduate,  trained,  professional,  or  registered  nurse  without 
a  certificate  of  said  Board  of  Examiners.  A  nurse  who  has  received  his  or  her  cer- 
tificate according  to  the  provisions  of  this  Act  shall  be  styled  and  known  as  a 
"Registered  Nurse."  No  other  person  shall  assume  such  title,  or  use  the  abbrevia- 
tion R.  N.  or  any  other  letters  or  figures  to  indicate  that  he  or  she  is  a  registered 
nurse.  A  nurse  registered  in  any  State  or  country,  having  the  same  qualifications 
or  higher  ones  than  required  in  this  State,  can  on  the  payment  of  #5.00  with  the 
approval  of  State  Board  of  Examiners  be  a  registered  nurse  in  the  State  of  Delaware. 

SEC.  6.  That  this  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  and  also  it  shall  not  apply 
to  any  person  nursing  the  sick  for  hire,  but  who  does  not  in  any  way  assume  to  be 
a  graduate,  trained,  professional,  or  Registered  Nurse. 

SEC.  7.  That  any  person  violating  any  of  the  provisions  of  this  Act,  or  who 
shall  wilfully  make  any  false  representation  to  the  Board  of  Examiners  in  applying 
for  a  certificate,  shall  be  guilty  of  a  misdemeanor,  and  upon  conviction  be  punished 
by  a  fine  of  not  more  than  Five  Hundred  Dollars. 

SEC.  8.  That  the  State  Board  of  Examiners  of  Graduate  Nurses  may  revoke 
any  certificate  for  sufficient  cause,  but  before  this  is  done  the  holder  of  said  certifi- 
cate shall  have  thirty  days'  notice,  and  after  a  full  and  fair  hearing  of  the  charges 
made,  by  a  majority  vote  of  the  whole  Board,  the  certificate  may  be  revoked. 

SEC.  9.  That  all  Acts  or  parts  of  Acts,  in  so  far  as  the  same  are  inconsistent 
with  the  provisions  hereof,  be,  and  the  same  are  hereby  repealed. 

DISTRICT  OF  COLUMBIA 

AN   ACT 

AN  ACT  TO  DEFINE  THE  TERM  OF  "REGISTERED  NURSE,"  AND  TO  PROVIDE  FOR  THE 
REGISTRATION   OF   NURSES   IN   THE   DISTRICT   OF   COLUMBIA 

Be  it  enacted  by  the  Senate  and  House  of  Representatives  of  the  United  States  of 
America  in  Congress  assembled,  That  from  and  after  the  expiration  of  the  ninety 
days  immediately  following  the  passage  of  this  Act  no  person  shall,  in  the  District 
of  Columbia,  in  any  manner  whatsoever,  represent  herself  to  be  a  registered  nurse, 
or  allow  herself  to  be  so  represented,  unless  she  has  been  and  is  registered  by  the 
Nurses'  Examining  Board  in  accordance  with  the  provisions  of  this  Act. 

SEC.  2.  That  upon  the  taking  effect  of  this  Act  the  Graduate  Nurses'  Associa- 
tion of  the  District  of  Columbia  shall  nominate  ten  of  its  members  who  have  had 


66  STATE   REGISTRATION   FOR   NURSES 

not  less  than  five  years'  experience  in  the  profession.  These  nominations  shall  be 
submitted  to  the  Commissioners  of  the  District  of  Columbia,  who  shall,  from  said 
nominations,  appoint,  within  thirty  days  after  said  nominations  are  submitted 
to  them,  a  Nurses'  Examining  Board,  to  be  composed  of  five  members.  All  appoint- 
ments shall  be  made  so  that  the  term  of  one  member  shall  expire  on  the  thirtieth 
day  of  June  of  each  year,  and  upon  the  expiration  of  the  term  of  office  of  any 
examiner  the  said  Commissioners  shall  likewise  fill  the  vacancy  for  a  term  of  five 
years  from  a  list  of  three  nominees  submitted  to  them  each  year  by  the  Graduate 
Nurses'  Association  of  the  District  of  Columbia.  An  unexpired  term  shall  be  filled 
by  said  Commissioners  from  three  additional  names  furnished  by  the  Graduate 
Nurses'  Association  upon  request  of  said  Commissioners.  No  member  of  said 
Board  shall  enter  upon  the  discharge  of  her  duties  until  she  has  taken  oath  to  faith- 
fully and  impartially  perform  the  same;  and  the  said  Commissioners  may  remove 
any  member  of  said  Board  for  neglect  of  duty  or  for  any  just  cause. 

SEC.  3.  That  the  Nurses'  Examining  Board  shall  meet  in  the  District  of  Colum- 
bia within  ten  days  after  their  appointment  and  organize  the  Board,  and  annually 
thereafter  shall  meet  in  the  month  of  April  and  shall  elect  from  its  members  a 

E-esident,  and  also  a  secretary  who  shall  be  treasurer.  It  shall  frame  all  such  by- 
ws  as  it  shall  deem  necessary  for  carrying  into  effect  the  provisions  of  this  Act, 
and  may  amend  such  rules  from  time  to  time  at  discretion  of  said  Board.  The 
secretary  shall  be  required  to  keep  a  record  of  all  meetings  of  the  Board,  and  also 
a  register  of  the  names  of  all  nurses  duly  registered  under  this  Act,  and  to  furnish 
a  certificate  of  registration  to  all  such  nurses.  The  said  Board  shall  hold  examina- 
tions not  less  frequently  than  once  a  year,  and  the  notice  of  each  examination 
shall  be  given  in  one  daily  newspaper  published  in  Washington  City  and  in  one 
Nursing  Journal  at  least  thirty  days  prior  to  the  examination. 

SEC.  4.  That  every  nurse  desiring  to  style  herself  "a  registered  nurse"  in  the 
District  of  Columbia  shall  make  application  to  the  nurses'  examining  board  for 
registration,  and  at  the  tune  of  making  such  application  shall  pay  to  the  treasurer 
of  said  Board  five  dollars.  Said  applicant  must  furnish  satisfactory  evidence  that  she 
is  over  twenty-three  years  of  age,  of  good  moral  character,  and  free  from  habits 
liable  to  interfere  with  her  services  as  a  nurse,  and,  further,  that  she  holds  a  diploma 
from  a  training-school  for  nurses  which  has  been  registered  by  the  Nurses'  Examin- 
ing Board  of  the  District  of  Columbia:  Provided,  however,  That  no  training-school 
shall  be  registered  which  does  not  maintain  proper  educational  standards,  and  give 
not  less  than  two  years'  training  in  a  general  hospital,  or  instruction  of  the  same 
kind,  and,  to  at  least  the  same  extent  as  that  given  in  the  general  hospital,  all  of 
which  shall  be  determined  by  the  Nurses'  Examining  Board. 

SEC.  5.  That  any  person  possessing  the  qualifications  required  in  Section  4 
of  this  Act,  who  has  been  engaged  hi  nursing  in  the  District  of  Columbia  five  years 
after  graduation  immediately  preceding  the  passage  of  this  Act,  or  shall  have 
graduated  from  any  training-school  in  the  District  of  Columbia  within  the  five 
years  immediately  preceding  the  passage  of  this  Act,  shall  be  entitled  to  regis- 
tration without  examination  upon  payment  of  the  registration  fee.  And,  further, 
that  any  person  who  has  been  engaged  in  nursing  in  the  District  of  Columbia  for 
four  years  immediately  preceding  the  passage  of  this  Act  and  shall  have  spent,  in  ad- 
dition, one  year  in  a  hospital  or  sanatorium,  shall  be  permitted  to  register  after  pass- 
ing a  practical  examination:  Provided,  That  such  certificates  shall  not  declare  that 
the  persons  holding  them  have  fulfilled  all  the  requirements  expressed  in  Section  4. 
SEC.  6.  That  the  registration  of  any  person  as  a  nurse  in  the  District  of  Colum- 
bia may  be  revoked  and  the  certificate  of  such  person  cancelled  if  she  should  be 
found  to  have  obtained  the  same  by  fraud,  or  be  found  guilty  by  the  Nurses'  Exam- 
ining Board  of  any  act  derogatory  to  the  standing  and  morals  of  the  profession  of 
nursing.  But  before  any  certificate  shall  be  revoked  the  holder  thereof  shall  be 
entitled  to  thirty  days'  notice  of  the  charges  against  her,  and  after  a  full  and  fair 
hearing  the  certificate  can  be  revoked  by  a  majority  vote  of  the  whole  Board. 


FULL   TEXT   OF   LAWS  67 

SEC.  7.  That  all  expenses  incident  to  the  execution  of  the  provisions  of  this 
Act  shall  be  paid  from  the  fees  collected  from  applicants  for  registration  as  nurses, 
and  if  any  balance  remains  on  hand  on  the  thirtieth  day  of  June  of  any  year  the 
secretary  and  treasurer  of  the  nurses'  examining  board  shall  receive  of  such  balance 
the  sum  of  one  hundred  dollars,  and  each  other  member  of  the  said  Board  shall 
receive  five  dollars  for  each  day  actually  spent  in  the  discharge  of  official  duties. 
All  moneys  shall  be  paid  to  the  treasurer  of  the  board  and  shall  be  paid  out  under 
the  orders  of  the  board. 

SEC.  8.  That  any  person  who  shall  violate  any  of  the  provisions  of  this  Act 
shall  be  guilty  of  a  misdemeanor,  and  upon  conviction  thereof  shall  be  punished  by 
a  fine  not  exceeding  two  hundred  dollars,  or  by  imprisonment  in  the  workhouse  for 
a  period  not  exceeding  sixty  days. 

SEC.  9.  That  the  nurses'  examining  board  shall  have  power  to  register,  in 
like  manner,  without  examination,  any  person  who  has  been  registered  as  a  profes- 
sional nurse  in  another  State  or  Territory  under  laws  which  in  the  opinion  of  said 
board  maintains  a  standard  substantially  equivalent  to  that  provided  for  by  this 
Act.  This  Act,  however,  shall  not  include  such  nurses  as  have  been  registered, 
by  other  States,  without  examination,  unless  investigation  of  training  and  qualifica- 
tion of  such  nurse  prove  satisfactory  to  the  examining  board.  This  Act  does 
include,  on  the  same  basis,  the  certificates  of  nurses  from  States  prevented  by  law, 
or  any  good  reason,  from  entering  into  reciprocal  relation  with  the  District  of 
Columbia. 

SEC.  10.  That  nothing  in  this  Act  shall  be  construed  to  prevent  any  person  from 
nursing  any  other  person  in  the  District  of  Columbia  either  gratuitously  or  for  hire, 
provided  that  such  person  so  nursing  shall  not  represent  herself  as  being  a  registered 
nurse.  Nothing  in  this  Act  shall  be  construed  as  authorizing  any  person  to  prac- 
tice medicine  or  surgery,  or  midwifery,  in  said  District  otherwise  than  in  accord- 
ance with  an  Act  entitled  "An  Act  to  regulate  the  practice  of  medicine  and  surgery, 
to  license  physicians  and  surgeons,  and  to  punish  persons  violating  the  provisions 
thereof,"  approved  June  third,  eighteen  hundred  and  ninety-six. 

SEC.  ii.  That  the  word  "she"  and  the  derivatives  thereof,  wherever  they  occur 
in  this  Act,  shall  be  construed  so  as  to  include  the  word  "he"  and  derivatives. 

FLORIDA 

SECTION  i.  Be  it  enacted  by  the  Legislature  of  the  State  of  Florida:  That  upon 
the  taking  effect  of  this  Act,  the  Governor  of  the  State  shall  appoint,  within  sixty 
days,  a  Board  of  Examiners  to  be  composed  of  five  (5)  nurses.  One  of  the  members 
of  this  Board  shall  be  designated  by  the  Governor  to  hold  office  one  year,  one  for 
two  years,  one  for  three  years,  and  two  for  four  years,  and  hereafter,  upon  the 
expiration  of  the  term  of  office  of  the  person  so  appointed,  the  Governor  shall 
appoint  a  successor  to  each  person,  to  hold  office  for  four  years. 

SEC.  2.  That  the  members  of  this  State  Board  of  Examiners  shall  as  soon  or- 
ganized, and  annually  thereafter  in  the  month  of  June,  elect  from  their  members  a 
President  and  a  Secretary,  who  shall  be  the  Treasurer.  Three  members  of  this 
Board  shall  constitute  a  quorum,  and  special  meetings  of  the  Board  shall  be  called 
by  the  Secretary  upon  written  request  of  any  two  members.  The  said  Board  of 
Examiners  is  authorized  to  frame  such  by-laws  as  may  be  necessary  to  govern  its 
proceedings.  The  Secretary  shall  be  required  to  keep  a  record  of  all  meetings  of 
the  Board,  including  a  register  of  the  names  of  all  the  nurses  duly  registered  under 
this  Act,  which  shall  at  all  reasonable  times  be  open  to  public  scrutiny,  and  the 
Board  shall  cause  the  prosecution  of  all  persons  violating  any  of  the  provisions  of 
this  Act,  and  may  incur  necessary  expenses  on  this  behalf.  The  Secretary  shall 
receive  a  salary  to  be  fixed  by  the  Board,  not  to  exceed  one  hundred  dollars  ($100.00) 
per  annum,  also  traveling  and  other  expenses  incurred  in  the  discharge  of  her  official 
duties.  The  other  members  of  the  Board  shall  receive  five  dollars  ($5 .00)  for  each  day 


68  STATE   REGISTRATION  FOR   NURSES 

actually  engaged  in  this  service,  and  all  legitimate  and  necessary  expenses.  Said 
expenses  and  salaries  shall  be  paid  from  fees  received  by  the  Board  under  the  pro- 
vision of  this  Act,  and  no  part  of  salaries  or  other  expenses  of  the  Board  shall  be 
paid  out  of  the  State  Treasury.  All  money  received  in  excess  of  the  said  allowance 
and  other  expenses  provided  for,  shall  be  held  by  the  Treasurer  for  meeting  the 
expenses  of  the  said  Board  and  the  cost  of  annual  reports  of  the  Board. 

SEC.  3.  That  after  June  i,  1916,  it  shall  be  the  duty  of  said  Board  of  Exam- 
iners to  meet  not  less  frequently  than  once  in  every  year,  notice  of  which  meeting 
shall  be  given  the  public  press  and  in  one  nursing  journal  one  month  previous  to 
the  meeting.  At  this  meeting  it  shall  be  their  duty  to  examine  all  applicants  for 
registration  under  this  Act,  to  determine  their  fitness  and  ability  to  give  efficient 
care  of  the  sick.  Upon  filing  application  for  examination  and  registration,  each  ap- 
plicant shall  deposit  a  fee  of  five  dollars  ($5.00). 

SEC.  4.  That  the  applicant  shall  furnish  satisfactory  evidence  that  he  or  she  is 
twenty-two  (22)  years  of  age,  is  of  good  moral  character,  has  received  the  equiv- 
alent of  a  grammar  school  education,  and  has  graduated  from  a  training-school 
giving  a  systematic  course  in  medical,  surgical,  and  obstetrical  nursing,  presided 
over  by  a  Graduated  Nurse,  covering  a  period  of  not  less  than  two  years;  or  has  re- 
ceived two  years'  training  in  some  reputable  hospital  now  established  in  any  of  the 
counties  of  this  State;  and  who  has  received  a  certificate  from  the  Superintendent 
or  Physician  in  charge  of  said  hospital,  which  certificate  shall  be  approved  by  the 
Medical  Association  of  the  County  in  which  such  hospital  is  located;  or  has  gradu- 
ated from  a  training-school  in  connection  with  a  Hospital  in  good  standing  supplying 
a  systematic  two  years'  training  corresponding  to  the  above  standards,  which  training 
may  be  obtained  in  two  or  more  Hospitals. 

SEC.  5.  That  all  nurses  graduating  before  June  i,  1016,  possessing  the  above 
qualifications,  shall  be  permitted  to  register  without  examination  upon  payment  of 
registration  fee.  Nurses  who  shall  show  to  the  satisfaction  of  the  Board  of  Exam- 
iners that  they  are  graduates  of  training-schools  connected  with  a  general  hospital 
or  sanitarium  giving  two  years'  training,  or  prior  to  the  year  1897  having  given  one 
year's  training,  and  who  maintain  in  other  respects  proper  standards,  and  are  en- 
gaged in  professional  nursing  at  the  date  of  the  passage  of  this  Act,  or  have  been 
engaged  in  nursing  five  years  (5)  after  graduation,  prior  to  the  passage  of  this  Act, 
also  those  who  are  in  training  at  the  tune  of  the  passage  of  this  Act,  and  shall 
graduate  hereafter,  and  possess  the  above  qualifications,  shall  be  entitled  to  regis- 
tration without  examination,  provided  such  application  be  made  before  June  i,  1916. 

Graduates  of  training-schools  in  connection  with  special  hospitals,  giving  a  two 
years'  course,  who  shall  obtain  one  year's  additional  training  in  an  approved  general 
hospital,  shall  be  eligible  for  registration  without  examination  before  June  i, 
1916;  or  said  graduate  shall  be  eligible  for  registration  prior  to  said  date  upon  pass- 
ing a  special  examination  before  the  Board  of  Examiners,  in  subjects  not  ade- 
quately taught  in  the  training-schools  from  which  they  have  been  graduated. 

SEC.  6.  And  it  shall  be  unlawful  after  the  expiration  of  that  time  for  any  per- 
son to  practice  professional  nursing  as  a  registered  nurse  without  a  certificate  in 
this  State.  A  nurse  who  has  received  his  or  her  certificate  according  to  the  provision 
of  this  Act  shall  be  styled  and  known  as  a  "Registered  Nurse."  No  other  person 
shall  assume  such  title  or  use  the  abbreviation  R.  N.,  or  any  other  letter  or  figures 
to  indicate  that  he  or  she  is  a  registered  nurse. 

SEC.  7.  That  this  Act  shall  not  be  construed  to  effect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  and  also  it  shall  not  apply 
to  any  person  nursing  the  sick  for  hire,  but  who  does  not  in  any  way  assume  to  be  a 
registered  nurse. 

SEC.  8.  That  any  person  violating  any  of  the  provisions  of  this  Act,  or  who  shall 
wilfully  make  any  false  representation  to  the  Board  of  Examiners  in  applying  for  a 
certificate,  shall  be  guilty  of  a  misdemeanor,  and  upon  conviction  be  punished  by  a 
fine  of  not  more  than  five  hundred  dollars  ($500.00). 


FULL   TEXT  OF   LAWS  69 

SEC.  g.  That  the  State  Board  of  Examiners  of  Graduate  Nurses  may  revoke 
any  certificate  for  sufficient  cause,  but  before  this  is  done  the  holder  of  said  certificate 
shall  have  thirty  days'  notice,  and  after  full  and  fair  hearing  of  the  charge  made  by 
a  majority  vote  of  the  whole  Board  the  certificate  can  be  revoked. 

SEC.  10.  The  Board,  upon  written  application,  and  upon  the  receipt  of  five 
dollars  ($5.00)  as  registration  fee,  may  issue  a  certificate,  without  examination,  to 
those  who  shall  have  been  registered  as  registered  nurses,  under  the  law  of  another 
State  having  the  requirements  equivalent  to  those  of  Florida;  Provided,  That  the 
Board  shall  be  sole  judge  of  credentials  of  any  nurse  to  registration.  Board  shall 
be  sole  judge  of  credentials  of  any  nurse  admitted  to  registration  without  exami- 
nation. 

SEC.  ii.  That  this  Act  shall  take  effect  from  the  date  of  its  passage  and  ap- 
proval by  the  Governor. 

GEORGIA 

To  be  entitled  an  Act  to  regulate  the  practice  of  Professional  Nursing  in  the 
State  of  Georgia,  and  to  that  end  to  create  the  Board  of  Examiners  of  Nurses  for 
Georgia;  and  to  require  registration  by  those  desiring  to  practice  in  the  State  as 
registered  nurses,  and  to  provide  penalties  for  the  breach  of  the  requirements  of 
this  Act,  and  for  other  purposes. 

SECTION  i.  Be  it  enacted  by  the  General  Assembly  of  Georgia,  That  the  Board  of 
Examiners  of  Nurses  for  Georgia  is  hereby  created.  It  shall  be  composed  of  five 
persons  to  be  selected  and  appointed  in  the  following  manner: 

The  Georgia  State  Association  Graduate  Nurses  will,  within  thirty  (30)  days 
after  this  Act  takes  effect,  nominate  to  the  Governor  of  this  State  ten  (10)  of  its 
members,  none  of  whom  is  in  any  way  connected  with  any  training-school  for 
nurses.  The  said  nurses  must  have  had  at  least  three  years  of  active  practice  in 
their  profession  immediately  preceding  their  appointment.  From  this  number  the 
Governor  shall,  within  thirty  (30)  days  thereafter,  appoint  for  places  on  the  said 
Board  one  nurse,  who  shall  hold  office  for  one  year  from  said  date  of  appointment; 
and  two  who  shall  hold  office  for  two  (2)  years  from  said  date;  and  two  (2)  who  shall 
hold  office  for  three  (3)  years  from  said  date.  All  of  the  said  appointments  shall 
have  the  same  date,  provided  no  two  of  the  nurses,  so  appointed,  shall  have  grad- 
uated from  the  same  training-school. 

Upon  the  expiration  of  the  term  of  office  of  any  member  of  said  Board,  the  Gov- 
ernor of  this  State  shall  appoint  a  successor  to  fill  the  said  term  of  office,  who  shall 
hold  office  for  three  years  from  the  date  of  the  expiration  of  the  said  term  of  office. 

The  said  appointment  shall  be  made  from  a  list  of  five  (5)  members  of  the  said 
Association,  to  be  furnished  to  him  by  the  said  Association. 

All  vacancies  occurring  in  this  Board  shall  be  filled  by  the  Governor  for  the 
unexpired  term  from  like  nominations  furnished  to  him  by  the  said  Association 
within  thirty  (30)  days  after  the  vacancy  occurs:  Provided,  That  if  the  said  Asso- 
ciation fails  to  make  the  nominations  herein  required  within  the  time  herein  spec- 
ified, the  Governor  shall  make  such  appointments  by  nominating  such  members 
of  the  nursing  profession  thereto,  as  may  seem  to  him  to  be  proper. 

SEC.  2.  Be  it  further  enacted,  That  the  members  of  this  State  Board  of  Exam- 
iners shall,  within  thirty  (30)  days  after  appointment,  organize  by  the  election  of  one 
of  its  members  to  be  the  President  of  the  said  Board,  and  another  to  be  the  Secre- 
tary and  Treasurer,  who  shall  hold  office  for  a  period  of  one  year  and  until  their 
respective  successors  are  elected  and  have  qualified;  said  officers  shall  be  elected 
by  said  Board  annually,  and  in  case  of  a  vacancy  in  either  of  said  offices  the  Board 
shall,  within  forty  (40)  days  after  the  vacancy  occurs,  elect  one  of  its  number  to 
fill  said  office,  and  in  the  event  there  is  no  such  election  within  the  time  named,  the 
Governor  shall  appoint  a  member  of  said  Board  to  fill  the  vacancy. 

The  Secretary  is  required  to  certify  to  the  Governor  the  names  of  the  officers 
so  elected,  and  in  the  case  of  a  vacancy  this  shall  likewise  be  certified  by  the  Sec- 


70  STATE   REGISTRATION   FOR  NURSES 

retary  to  him,  and  in  the  event  of  a  vacancy  in  the  office  of  Secretary,  the  President 
of  the  Board  shall  certify  the  same  to  him,  and  shall  certify  to  him  the  name  of  the 
person  chosen  to  fill  the  vacancy  in  the  event  such  vacancy  is  filled  by  the  Board. 

SEC.  3.  Be  it  further  enacted,  That  three  (3)  members  of  said  Board  of  Exam- 
iners shall  constitute  a  quorum,  but  no  action  of  said  Board  shall  be  valid  unless 
authorized  by  the  affirmative  vote  of  three  (3)  members  thereof. 

The  Secretary  of  the  Board  is  directed  to  keep  a  record  of  the  minutes  of  the 
meetings  of  said  Board  and  a  record  of  the  names  of  all  persons  applying  for  regis- 
tration hereunder,  and  of  the  action  of  the  Board  thereon;  and  a  register  of  all 
nurses  who  have  complied  with  the  requirements  of  this  Act,  all  of  which  said 
records  shall,  at  all  reasonable  times,  be  open  to  the  public  inspection. 

Said  Board  is  authorized  to  have  and  use  an  official  seal  which  shall  bear  the 
words:  "State  Board  of  Examiners  of  Nurses  for  Georgia."  The  certificate  of  the 
Secretary  of  said  Board  under  the  seal  thereof,  as  to  the  action  or  non-action  of  the 
Board,  shall  be  accepted  in  evidence,  in  the  Courts  of  this  State,  as  the  best  evi- 
dence of  the  minutes  of  the  said  Board,  and  likewise  the  certificate  of  the  said 
Secretary,  under  the  said  seal,  as  to  the  registration  or  non-registration  of  any 
person,  shall  be  accepted  as  the  best  evidence  as  to  the  registration  or  non-regis- 
tration of  the  said  person  under  the  requirements  of  this  Act.  The  Secretary  will 
issue  to  all  nurses  admitted  to  registration  hereunder,  a  certificate  under  the  seal 
of  said  Board,  showing  that  fact. 

SEC.  4.  Be  it  further  enacted,  That  it  shall  be  the  duty  of  said  Board  to  meet 
for  the  purpose  of  examining  applicants  for  registration,  at  least  once  in  each  year, 
and  oftener,  should  it  be  deemed  necessary  by  said  Board.  Notice  of  said  meeting 
shall  be  given,  of  the  time  and  place  of  said  meeting,  by  written  notice  posted, 
postage  prepaid,  to  last  known  address  of  each  applicant.  At  least  ten  (10)  days 
before  the  time  of  said  meeting,  and  by  publication  in  a  daily  paper  of  general 
circulation,  at  Atlanta,  and  in  a  Nurses  Journal,  if  there  be  one  published  in  Georgia. 

The  said  notices  shall  be  published  at  the  same  rates  charged  for  Sheriff's 
advertisements.  Said  notice  shall  be  inserted  at  least  once,  and  the  first  insertion 
shall  be  made  at  least  two  weeks  prior  to  the  said  meeting.  Provided:  The  Sec- 
retary of  said  Board  shall  issue  a  temporary  permit  to  each  applicant  for  regis- 
tration, which  permit  will  authorize  said  applicant  to  do  nursing  as  a  registered 
nurse,  until  the  next  meeting  of  the  Board. 

SEC.  5.  Be  it  further  enacted,  That  all  persons  making  application  for  regis- 
tration under  this  Act,  shall  deposit  with  the  Secretary  of  the  said  Board  at  the 
time  of  making  such  application,  the  sum  of  Five  ($5.00)  Dollars  as  an  examination 
fee. 

SEC.  6.  Be  it  further  enacted,  That  each  applicant  for  registration,  must  be  at 
least  twenty-one  (21)  years  of  age,  of  good  moral  character,  a  graduate  from  a  regu- 
lar chartered  training-school  for  nurses,  connected  with  a  general  hospital  or  sanato- 
rium (in  which  medical,  surgical,  gynecological,  and  obstetrical  cases  are  treated), 
where  three  (3)  years  of  training  with  a  systematic  course  of  instruction  on  the 
above-mentioned  class  of  cases  is  given  in  the  hospital  or  sanatorium;  or  must  have 
graduated  from  a  training-school  hi  connection  with  a  hospital  of  good  standing, 
supplying  a  three  years'  training  corresponding  to  the  above  standard,  which 
training  may  be  obtained  in  two  or  more  hospitals.  All  qualifications  of  the  appli- 
cant shall  be  determined  by  the  said  Board,  which  is  empowered  to  prescribe  such 
examination  for  the  applicants  as  will  best  test  their  fitness  and  ability  to  give 
efficient  care  to  the  sick.  All  applicants  at  the  same  examination  shall  be  sub- 
jected to  the  same  kind  of  examination. 

SEC.  7.  Be  it  further  enacted,  That  all  nurses  graduating  on  or  before  June 
first,  1909,  from  such  training-schools  as  are  referred  to  in  the  preceding  Section, 
shall  be  by  that  fact  entitled  to  registration  without  examination  upon  paying 
the  application  fee  of  Five  ($5.00)  Dollars  as  provided  in  this  Act,  and  submitting 
sufficient  evidence  of  good  moral 'character.  Nurses  who  shall  show  to  the  satis- 


FULL   TEXT   OF   LAWS  71 

faction  of  the  said  Board  that  they  are  graduates  of  training-schools  connected 
with  a  hospital  or  sanatorium,  giving  two  years'  systematic  course  of  instruction, 
or,  if  they  graduated  before  or  during  the  year  1897,  from  such  a  school  giving  one 
year's  training,  and  who  are  in  good  moral  and  professional  standing,  and  are 
engaged  in  the  practice  of  the  profession  of  nursing  at  the  passage  of  this  Act, 
also  all  nurses  in  training  at  the  time  of  the  passage  of  this  Act,  and  shall  graduate 
hereafter  and  possess  the  qualifications  herein  specified,  shall,  upon  payment  of 
the  application  fee,  be  entitled  to  registration  without  examination,  provided 
application  is  made  for  such  registration  on  or  before  June  first,  1909. 

SEC.  8.  Be  it  further  enacted,  That  after  the  expiration  of  six  months  from  the 
passage  of  this  Act,  it  shall  be  unlawful  for  any  person  or  persons  to  practice  pro- 
fessional nursing  as  a  Registered  Nurse  in  this  State,  without  certificate  from  the 
said  Board,  and  any  person  violating  any  of  the  provisions  of  this  Act,  shall  be  guilty 
of  a  misdemeanor,  and  upon  conviction  therefor  shall  be  punished  in  accordance 
with  Section  1039  of  the  Penal  Code  of  the  State  of  Georgia. 

Each  nurse  who  registers  in  accordance  with  the  provisions  hereof,  shall  be 
styled  and  known  as  a  "Registered  Nurse,"  and  no  other  Nurse  shall  assume  or  use 
such  title,  or  use  the  abbreviation,  "R.  N."  or  any  other  letters,  words,  or  figures 
to  indicate  that  he  or  she  is  a  Registered  Nurse,  and  a  violation  hereof  shall  be 
deemed  a  misdemeanor,  and  shall,  upon  conviction,  be  punished  accordingly. 

SEC.  9.  Be  it  further  enacted,  That  this  Act  shall  not  be  construed  to  affect 
or  apply  to  gratuitous  nursing  of  the  sick  by  friends  or  members  of  the  family,  and 
it  shall  not  apply  to  any  person  nursing  for  hire,  who  does  not,  in  any  way,  assume 
to  be  a  registered  nurse,  and  who  does  not  use  the  title  Registered  Nurse,  or  the 
letters  "R.  N.,"  or  other  letters,  words,  or  figures,  for  the  purpose  of  representing 
that  he  or  she  is  a  Registered  Nurse  within  the  meaning  of  this  Act. 

SEC.  10.  Be  it  further  enacted,  That  the  said  Board  may  revoke  any  Certificate 
issued  by  it  for  sufficient  cause,  to  be  adjudged  by  it;  but  no  such  certificate  shall 
be  revoked  without  a  hearing,  notice  of  the  time  and  place  of  which  shall  be  given 
to  the  holder  of  the  certificate  by  the  Secretary  at  least  thirty  (30)  days  before 
the  day  set  for  said  hearing,  which  notice  shall  plainly  set  forth  charges  against 
the  holder  of  said  certificate,  and  the  trial  shall  be  only  upon  the  grounds  so  speci- 
fied. Said  notice  shall  be  mailed  to  the  said  person  so  accused,  at  his  or  her  last- 
known  address,  postage  prepaid,  or  the  same  shall  be  delivered  personally  to  the 
person  so  accused. 

The  presiding  officer  of  said  Board  is  authorized  and  empowered  to  administer 
oaths  to  all  witnesses  giving  evidence  at  such  hearing,  and  no  evidence  shall  be 
received  at  such  a  hearing  if  the  same  is  not  under  oath. 

SEC.  ii.  Be  it  further  enacted,  That  out  of  the  funds  of  the  said  Board  accruing 
from  the  application  fees  as  herein  provided,  the  Secretary  of  the  said  Board  shall 
be  paid  a  salary  to  be  fixed  by  the  Board  at  a  sum  not  exceeding  One  Hundred 
($100.00)  Dollars  per  year,  and  all  necessary  expenses,  and  the  members  of  said 
Board  shall  be  entitled  out  of  said  funds,  to  receive  Five  ($5.00)  Dollars  per  day 
for  each  day  actually  engaged  in  the  service  of  the  said  Board,  and  all  necessary 
expenses;  all  payments  out  of  said  funds  shall  be  first  approved  by  the  presiding 
officer  of  the  said  Board. 

SEC.  12.  Be  it  further  enacted,  That  all  laws  and  parts  of  laws  in  conflict  herein 
be,  and  they  are  hereby  repealed. 

IDAHO 

Be  it  Enacted  by  the  Legislature  of  the  State  of  Idaho: 

SECTION  i.  Upon  taking  effect  of  this  Act,  the  Governor  shall  appoint,  within 
sixty  (60)  days,  a  State  Board  of  Examination  and  Registration  of  Graduate 
Nurses,  whose  duty  it  shall  be  to  enforce  the  provisions  of  this  Act. 

The  Idaho  State  Association  of  Graduate  Nurses  shall  nominate  four  (4)  nurses 


72  STATE   REGISTRATION   FOR   NURSES 

and  two  (2)  physicians,  from  which  list  the  Governor  of  Idaho  shall  appoint  an 
Examining  Board  of  two  (2)  nurses  and  one  (i)  physician.  The  nurses  appointed 
on  this  Board  shall  have  been  graduated  from  reputable  training-schools  for  nurses 
for  a  period  of  at  least  five  (5)  years,  and,  with  the  exception  of  those  appointed  as 
members  of  the  first  Board,  shall  have  been  registered  under  the  provisions  of  this 
Act.  The  physicians  appointed  on  this  Board  shall  have  been  graduated  for  a 
period  of  at  least  five  (5)  years  at  the  time  of  appointment.  The  members  of  this 
Board  must  be  actual  residents  of  this  State  and  engaged  in  professional  work. 

The  members  of  this  Board  shall  be  appointed  to  hold  office  as  follows: 

One  for  one  (i)  year;  one  for  two  (2)  years;  one  for  three  (3)  years,  each  member 
holding  office  from  time  of  appointment  until  a  successor  is  chosen  by  the  Governor. 

All  appointments  shall  be  made  so  that  the  term  of  office  shall  expire  on  the  first 
day  of  March  of  each  year,  and,  upon  the  expiration  of  the  term  of  office,  the  Gover- 
nor shall  likewise  fill  the  vacancy  for  a  term  of  three  (3)  years  from  the  list  of  six  (6) 
names  submitted  to  him  each  year  by  the  Idaho  State  Association  of  Graduate 
Nurses.  An  unexpired  term  of  an  examiner  caused  by  death,  resignation,  or  other- 
wise shall  be  filled  in  the  same  manner  as  an  original  appointment  is  made. 

SEC.  2.  The  members  of  the  Board  shall  meet  in  the  city  of  Boise,  as  soon  as 
organized,  and  shall  elect  from  their  number  a  President,  who  shall  act  as  inspector 
of  training-schools  for  nurses,  and  a  Secretary,  who  shall  act  also  as  Treasurer. 
Two  (2)  members  shall  constitute  a  quorum,  and  special  meetings  of  the  Board 
shall  be  called  by  the  Secretary  upon  the  written  request  of  any  two  (2)  members. 

The  Board  shall  adopt  a  seal,  which  shall  be  placed  in  the  care  of  the  Secretary. 
The  Secretary  shall  be  required  to  keep  a  record  of  all  meetings  of  the  Board,  includ- 
ing a  register  of  the  names  of  all  nurses  and  training-schools  for  nurses  registered 
under  this  Act.  Said  register  shall,  at  all  reasonable  times,  be  open  to  public  scru- 
tiny, and  the  Board  shall  cause  the  prosecution  of  all  persons  violating  any  of  the 
provisions  of  this  Act,  and  may  incur  necessary  expense  on  this  behalf. 

The  inspector  shall  annually  inspect  all  training-schools  for  nurses  existing  in 
the  State  of  Idaho,  and  shall  register  such  schools  as  fulfil  the  requirements  desig- 
nated by  the  Examining  Board. 

The  Board  shall  provide  a  schedule  of  the  subjects  upon  which  applicants  shall 
be  examined  to  qualify  for  the  requirements  of  this  Act. 

The  salary  of  the  Secretary  shall  be  fixed  by  the  Board,  and  shall  not  exceed 
five  hundred  dollars  ($500.00)  per  annum,  said  salary  not  covering  traveling 
expenses  and  other  expenses  incurred  in  discharge  of  official  duties.  The  other 
members  of  the  Board  shall  receive  four  ($4.00)  dollars  each  per  day  for  each  day 
actually  engaged  in  attendance  upon  meetings  of  the  Board,  and  in  going  to  and 
coming  from  their  place  of  meeting,  and  inspection  of  training-schools  for  nurses, 
and  all  legitimate  and  necessary  expenses  incurred  in  attending  such  meetings. 
All  expenses  of  the  Board,  including  such  salary  and  compensation,  shall  be  paid 
from  the  fees  received  by  the  Board.  A  report  of  all  receipts  and  expenditures  shall 
be  made  to  the  Governor  by  December  15  of  each  year. 

SEC.  3.  It  shall  be  the  duty  of  the  Board  to  meet  in  the  city  of  Boise  for  the 
purpose  of  holding  examinations  not  less  frequently  than  once  every  year,  and  at 
such  times  as  they  may  determine;  the  Board  shall  also,  at  least  once  a  year,  arrange 
for  an  examination  in  some  convenient  place  in  the  northern  part  of  the  State.  The 
Board  shall,  from  time  to  time,  adopt  rules  for  the  examination  of  applicants  for 
registration  in  accordance  with  the  provisions  of  this  Act. 

Notice  of  the  meetings  of  the  Board  shall  be  given  to  the  public  press  and  to  at 
least  one  journal  devoted  to  the  interest  of  professional  nursing,  and  by  mail  to 
every  applicant  and  to  every  reputable  training-school  in  Idaho,  at  least  thirty 
(30)  days  prior  to  the  meeting.  At  such  meetings  it  shall  be  the  duty  of  the  Board 
to  examine  all  such  applicants  for  registration  under  this  Act  as  are  required  to  be 
examined,  and  to  issue  to  each  duly  qualified  applicant  who  shall  have  complied 
with  the  pertinent  provisions  of  this  Act  the  certificate  provided  for  in  this  Act. 


FULL   TEXT   OF   LAWS  73 

Any  person  to  whom  a  certificate  of  registration  shall  be  issued  shall,  within 
thirty  (30)  days  thereafter,  cause  the  same  to  be  recorded  with  the  county  clerk 
of  the  county  in  which  such  person  resided  at  the  time  of  application.  Such  persons 
shall  be  prepared,  whenever  requested,  to  exhibit  such  certificate  of  registration 
or  a  certified  copy  thereof.  Registered  nurses  changing  residence  in  the  State  must 
present  a  certificate  of  registration  or  a  certified  copy  thereof  to  the  county  clerk 
within  thirty  (30)  days  of  the  time  of  establishing  new  residence. 

All  applicants  for  registration  shall  furnish  satisfactory  evidence  that  he  or  she 
is  twenty-one  (21)  years  of  age,  of  good  moral  character,  and  has  been  graduated 
from  a  training-school  for  nurses  connected  with  a  general  hospital  approved  by 
the  Board,  where  a  systematic  course  of  at  least  two  (2)  years'  instruction  is  given. 

SEC.  4.  On  compliance  with  the  pertinent  provisions  of  this  Act,  nurses  other- 
wise qualified  shall  be  entitled,  upon  the  payment  of  ten  dollars  ($10.00),  to 
registration  as  follows: 

First. — Without  examination,  provided  they  make  application  prior  to  July  i, 
1911. 

(a)  Nurses  who  shall  have  been  graduated  before  said  date  and  after  January  i, 
1890,  from  a  reputable  training-school  connected  with  a  general  or  special  hospital, 
who,  at  the  time  of  graduation,  shall  have  received  a  course  of  at  least  two  (2)  years 
in  such  training-school. 

(b)  Nurses  who  shall  have  been  graduated  on  or  prior  to  January  i,  1897,  from 
a  reputable  training-school  connected  with  a  general  hospital,  who,  at  the  time  of 
graduation,  shall  have  received  a  course  of  one  (i)  year's  training  in  such  training- 
school  and  who,  at  the  time  of  application,  shall  have  been  engaged  in  nursing  for 
fiye  (s)  years  since  their  graduation. 

(c)  Nurses  now  in  training  in  a  reputable  training-school  connected  with  a 
general  hospital,  which  now  gives  a  course  of  at  least  two  (2)  years'  training,  and  who 
shall  graduate  thereform. 

Second. — Nurses  who  shall  make  application  on  or  after  January  i,  1914,  and 
who,  at  the  time  of  application,  shall  have  graduated  from  a  reputable  training-school 
connected  with  a  general  hospital  requiring  a  systematic  course  of  at  least  three  (3) 
years'  training. 

Third. — Nurses  who  shall  make  application  on  or  after  January  i,  1914,  and 
who,  at  the  time  of  application,  shall  have  been  graduated  from  a  reputable  training- 
school  connected  with  a  special  hospital  requiring  a  systematic  course  of  at  least 
two  (2)  years'  training,  and  who  at  the  time  of  application  shall  have  obtained,  in  a 
reputable  general  hospital  one  (i)  year's  additional  training  in  subjects  not  ade- 
quately taught  in  the  training-school  from  which  they  were  graduated,  and  shall 
pass  an  examination  to  determine  their  fitness  and  ability  to  give  efficient  care  to 
the  sick. 

SEC.  5.  It  shall  be  unlawful  hereafter  for  any  person  to  practice,  or  attempt 
to  practice,  in  this  State  as  a  registered  nurse  without  a  certificate  from  the  Board. 
Any  person  who  has  received  such  a  certificate  shall  be  styled  and  known  as  a  regis- 
tered nurse,  and  shall  be  entitled  to  append  the  letters  "R.  N."  to  the  name  of 
such  person.  No  other  person  shall  assume  or  use  such  title  or  the  abbreviation 
"R.  N.,"  or  any  other  words,  letters,  or  figures,  to  indicate  that  such  person  is  a 
registered  nurse. 

SEC.  6.  This  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  nor  to  any  person  nursing 
the  sick  for  hire,  who  does  not  in  any  way  assume  or  pretend  to  be  a  registered  nurse, 
and  this  Act  shall  not  be  construed  to  interfere  in  any  way  with  members  of  religious 
communities  or  orders,  which  have  charge  of  hospitals,  or  take  care  of  the  sick  in 
their  own  home,  provided  such  members  do  not  in  any  way  assume  to  be  registered 
nurses. 

SEC.  7.  The  Board,  upon  written  application,  and  upon  the  receipt  of  Ten 
Dollars  ($10.00)  as  registration  fee,  may  issue  a  certificate,  without  examination,  to 


74  STATE   REGISTRATION   FOR  NURSES 

those  who  shall  have  been  registered  as  registered  nurses  under  the  law  of  another 
State  having  the  requirements  equivalent  to  those  of  Idaho;  Provided,  That  the 
Board  shall  be  sole  judge  of  credentials  of  any  nurse  admitted  to  registration  with- 
out examination. 

SEC.  8.  Any  person  violating  any  of  the  provisions  of  this  Act  shall  be  guilty 
of  a  misdemeanor  and  shall,  upon  conviction,  be  fined  for  the  offense  in  a  sum  not 
less  than  Ten  Dollars  ($10.00),  nor  more  than  One  Hundred  Dollars  ($100.00), 
for  the  first  offense,  and  not  less  than  One  Hundred  Dollars  ($100.00)  nor  more  than 
Five  Hundred  Dollars  ($500.00)  for  each  subsequent  offense. 

Any  person  who  shall  wilfully  make  any  false  representation  to  the  Board  in 
applying  for  a  license  shall  be  guilty  of  a  misdemeanor,  and,  upon  conviction,  shall 
be  fined  in  a  sum  not  less  than  One  Hundred  Dollars  ($100.00),  nor  more  than  Two 
Hundred  Dollars  ($200.00).  All  certificates  issued  by  the  Board  shall  be  signed  by 
all  the  members  thereof  .and  shall  be  attested  by  the  President  and  Secretary. 

SEC.  9.  The  Board  may  revoke  any  certificate  by  unanimous  vote  for  dis- 
honesty, gross  incompetency,  a  habit  rendering  a  nurse  unsafe  to  be  entrusted 
with,  or  unfit  for,  the  care  of  the  sick,  conduct  derogatory  to  the  morals  or  standing 
of  the  profession  of  nursing,  any  wilful  fraud  or  misrepresentation  practiced  in 
procuring  such  certificates,  provided  the  holder  of  such  certificate  shall  have  been 
given  at  least  thirty  (30)  days'  notice,  in  writing,  of  the  specific  charge  against  such 
holder,  and  of  the  time  and  place  of  hearing  the  charge  by  the  Board,  at  which  time 
and  place  the  holder  shall  be  entitled  to  be  heard  and  to  be  represented  by  counsel. 

Upon  the  revocation  of  any  certificate,  the  same  shall  be  null  and  void.  The 
holder  thereof  shall  cease  to  be  entitled  to  any  of  the  privileges  conferred  by  such 
certificate,  and  it  shall  be  the  duty  of  the  Secretary  of  the  Board  to  strike  the  name 
of  the  holder  thereof  from  the  roll  of  registered  nurses,  and  to  give  notice  of  such  rev- 
ocation to  the  county  clerk  in  whose  office  such  certificate  is  recorded,  and  there- 
upon such  county  clerk  shall  note  the  fact  of  such  revocation  upon  the  record  of 
such  certificate. 

ILLINOIS 

AN  ACT  entitled,  "An  Act  to  provide  for  the  registration  of  nurses  and  to  repeal  a  certain 
Act  therein  named." 

SECTION  i.  ILLINOIS  STATE  BOARD  OF  NURSE  EXAMINERS — QUALIFICATIONS — 
TERM  OF  OFFICE — VACANCY  ON  BOARD — OATH  OF  OFFICE. — Beit  enacted  by  the  People 
of  the  State  of  Illinois,  represented  in  the  General  Assembly:  That  a  Board  of  Examiners 
to  consist  of  five  (5)  registered  nurses  to  be  known  as  the  Illinois  State  Board  of 
Nurse  Examiners  is  hereby  created,  whose  duty  it  shall  be  to  carry  out  the  provisions 
of  this  Act  as  hereinafter  specified.  The  members  of  the  said  Board  shall  within 
thirty  days  after  this  Act  shall  be  in  force  and  effect  be  appointed  by  the  Governor, 
by  and  with  the  advice  and  consent  of  the  Senate,  and  at  the  time  of  their  appoint- 
ment they  must  be  actual  residents  of  the  State  of  Illinois.  They  shall  be  selected 
from  persons  engaged  in  active  work  appertaining  to  nursing  of  the  sick,  who  shall 
have  been  graduated  for  at  least  a  period  of  five  (5)  years  from  a  school  for  nurses 
in  good  standing  and  who,  during  their  course  of  training,  shall  have  served  for  two 
years  in  a  general  hospital,  and  who  shall  have  been  registered  under  the  provisions 
of  either  this  Act  or  the  Act  herein  repealed.  Three  members  of  the  Board  shall 
be  selected  from  nurses  who  have  had  at  least  two  (2)  years'  experience  in  educa- 
tional work  among  nurses.  The  term  for  which  the  members  of  said  Board  shall 
hold  office  shall  be  three  (3)  years  and  until  their  successors  are  duly  appointed: 
Provided,  however,  that  the  terms  of  the  several  members  composing  the  first  Board 
named  under  this  Act,  as  designated  by  the  Governor,  shall  expire  as  follows:  One 
thereof  on  December  31,  1914,  two  thereof  on  December  31,  1915,  and  two  thereof 
on  December  31,  1916.  In  case  of  a  vacancy  occurring  on  said  Board,  such  vacancy 
shall  be  filled  by  the  Governor  as  herein  provided,  within  thirty  days  after  being 


FULL   TEXT    OF   LAWS  75 

notified  of  any  such  vacancy,  and  the  member  so  appointed  by  the  Governor  to  fill 
a  vacancy  shall  serve  for  the  unexpired  portion  of  the  term  so  vacated.  When  the 
Senate  is  not  in  session,  the  Governor  may  make  appointments  to  fill  vacancies,  but 
all  such  appointments  so  made,  when  the  Senate  is  not  in  session,  shall  be  subject 
to  confirmation  by  the  Senate  at  its  next  session,  before  becoming  permanent. 
Each  member  before  entering  upon  the  duties  of  the  office  shall  take  the  oath  pre- 
scribed by  the  Constitution  of  this  State  for  State  officers.  Said  oath  shall  be  filed 
in  the  office  of  the  Secretary  of  State. 

SEC.  2.  OFFICERS — DUTIES — COURSE  OF  INSTRUCTION — INSPECTION  OF  SCHOOLS 
— SEAL — REGISTER  OF  NURSES — PROSECUTIONS — EXPENSES — COMPENSATION. — 
The  members  of  the  Board  shall,  as  soon  as  organized,  and  annually  thereafter,  elect 
from  their  number  a  president,  secretary,  and  treasurer.  The  secretary  may  also 
serve  as  treasurer.  The  Board  shall  adopt  rules,  not  inconsistent  with  the  law,  to 
govern  its  proceedings;  the  Board  may  also  outline  and  establish  a  course  of  instruc- 
tion to  be  followed  by  accredited  schools  for  nurses,  as  hereinafter  provided,  and  a 
system  of  inspection  of  such  accredited  schools  for  nurses;  and  the  Board  may  amend 
or  repeal  such  rules  in  its  discretion.  The  Board  shall  adopt  a  seal,  and  the  secre- 
tary shall  have  the  care  and  custody  thereof.  The  secretary  shall  keep  a  record  of 
all  proceedings  of  the  Board,  including  a  register  of  the  names  and  addresses  of  all 
nurses  duly  registered  under  this  Act,  which  register  shall  be  open  at  all  reasonable 
times  to  public  scrutiny  at  the  office  of  the  Board,  the  address  of  which  office  shall 
at  all  times  be  kept  on  file  at  the  office  of  the  Secretary  of  State.  The  Board  shall 
cause  the  prosecution  of  all  persons  violating  any  of  the  provisions  of  this  Act,  and 
to  the  provisions  of  any  law  regulating  the  expenditures  of  the  Board  may  incur 
necessary  expenses  in  that  behalf.  The  secretary  of  the  Board  shall  receive  a  salary, 
to  be  fixed  by  the  Board,  not  in  excess  of  the  amount  now  or  hereafter  authorized 
by  law;  each  member  of  the  Board  shall  receive  compensation  at  the  rate  of  ten 
dollars  ($10.00)  per  day  for  each  day,  or  a  proportionate  part  thereof  for  a  fraction 
of  a  working  day  of  eight  hours,  during  which  said  member  is  actually  engaged 
in  attendance  upon  the  meetings  of  the  Board,  or  is  otherwise  engaged  in  the  dis- 
charge of  duty  as  a  member  thereof,  and  in  going  to,  going  and  coming  from  the 
place  of  meeting,  or  the  discharge  of  such  duty.  All  legitimate  and  necessary  ex- 
penses incurred  in  attending  such  meetings  and  all  other  necessary  and  legitimate 
expenses  of  said  Board  shall  be  defrayed  by  the  Board,  subject,  however,  to  the 
provisions  of  any  law  now  or  hereafter  regulating  such  expenditures. 

SEC.  3.  QUORUM — RULES  FOR  EXAMINATION — COURSE  OF  INSTRUCTION — , 
INSPECTION  OF  SCHOOLS  FOR  NURSES — LIST  OF  ACCREDITED  SCHOOLS  FOR  NURSES — 
CERTIFICATE  AND  PUBLICATION  OF  MODIFICATION  OF  RULES. — Three  (3)  members 
of  the  Board  shall  constitute  a  quorum.  Special  meetings  of  the  Board  shall  be 
called  by  the  secretary  upon  written  request  of  any  two  (2)  members.  The  Board 
shall,  from  tune  to  time,  adopt  rules  governing  the  examination  of  applicants  for 
registration  not  inconsistent  with  the  provisions  of  the  law,  and  shall  adopt  rules 
providing  for  and  establishing  a  uniform  and  reasonable  standard  of  maintenance, 
instruction,  and  training  to  be  observed  by  all  schools  for  nurses  which  are  on,  or 
whose  application  is  pending  to  be  placed  on,  the  list  of  accredited  schools  for  nurses 
hereinafter  provided  for,  and  also  for  the  inspection  by  said  Board  of  such  schools 
for  nurses.  By  reference  to  the  compliance  or  non-compliance  by  schools  for  nurses 
with  such  rules,  and  the  general  standard  of  efficiency  or  inefficiency  of  manage- 
ment and  instruction  maintained  by  the  same,  the  said  Board  shall,  by  conducting 
inspections  in  accordance  with  its  rules,  determine  the  eligibility  of,  and  designate 
the  schools  for  nurses,  to  be  placed  on,  or  to  be  withdrawn  from,  a  list  which  shall 
be  known  as  the  list  of  accredited  schools  for  nurses,  which  list  shall  at  all  times  be 
kept  on  file  in  the  office  of  the  secretary  of  said  Board,  where  it  shall  be  open  to 
the  scrutiny  of  the  public  at  all  reasonable  hours,  and  a  copy  thereof  shall  be  kept 
on  file  at  the  office  of  the  Secretary  of  State.  Said  Board  may,  from  time  to  time, 
modify,  amend,  and  repeal  said  rules,  providing  no  modification  of  the  rules  govern- 


76  STATE   REGISTRATION   FOR  NURSES 

ing  examinations  of  candidates  for  registration  shall  be  made  and  become  effective 
during  the  six  weeks  next  preceding  the  date  set  for  holding  any  examination  herein 
provided  for.  The  Board  shall,  immediately  upon  the  election  of  an  officer,  file 
with  the  Secretary  of  State  a  certificate  thereof,  giving  the  name  and  address  of 
said  officer,  and  immediately  upon  the  adoption,  amendment,  or  repeal  of  a  rule,  the 
Board  shall  file  with  the  Secretary  of  State  a  certificate  thereof,  setting  forth  a  copy 
of  the  rule  as  adopted,  amended,  or  repealed,  and  shall  also  cause  a  copy  of  such 
certificate  to  be  published  in  the  earliest  issue  practicable  of  at  least  one  (i)  journal 
devoted  to  the  interests  of  professional  nursing,  and  mail  a  copy  of  said  certificate 
to  every  accredited  school  for  nurses  in  Illinois. 

SEC.  4.  MEETINGS  OF  BOARD — NOTICE  IN  PUBLIC  PRESS — EXAMINATION  OF 
APPLICANTS — ISSUANCE  OF  CERTIFICATES — REGISTRATION  IN  COUNTY  CLERK'S 
OFFICE — REVOCATION  OF  CERTIFICATE  FOR  FAILURE  TO  REGISTER. — It  shall  be  the 
duty  of  the  Board  to  meet  for  the  purpose  of  holding  examinations  not  less  frequently 
than  twice  a  year,  at  times  and  places  to  be  determined  by  said  Board.  Notices 
stating  the  time  and  place  for  the  holding  of  such  meetings  shall  be  published  in 
at  least  one  newspaper  of  general  circulation  in  each  of  the  cities  of  Chicago  and 
Springfield,  and  also  in  at  least  one  (i)  journal  devoted  to  the  interests  of  pro- 
fessional nursing,  at  least  thirty  (30)  days,  and  not  more  than  sixty  (60)  days,  before 
the  date  set  for  holding  the  meeting;  such  written  notice  of  said  examinations  shall 
also  be  sent  by  mail  to  every  person  whose  application  for  examination  has  been 
approved  and  is  on  file,  and  also  to  every  accredited  school  for  nurses  in  Illinois, 
at  least  thirty  (30)  days  prior  to  the  meeting.  At  such  meetings  it  shall  be  the 
duty  of  the  Board  to  examine  all  applicants  for  registration  who  present  themselves 
in  accordance  with  the  terms  of  this  Act,  and  shall  issue  a  certificate  for  registration 
to  each  applicant  who  passes  the  prescribed  examination  to  the  satisfaction  of  the 
Board.  Each  person  to  whom  such  certificate  shall  be  issued,  or  any  renewal  thereof 
as  hereinafter  provided,  shall,  within  ninety  (90)  days  thereafter,  cause  the  same  to 
be  presented  at  the  office  of  the  county  clerk  of  the  county  in  which  such  person 
resided  at  the  time  of  filing  the  application  and  cause  said  certificate  or  any  renewal 
thereof  to  be  registered.  The  county  clerk  shall  charge  twenty-five  (25)  cents  for 
registering  such  certificate.  Failure,  or  refusal  on  the  part  of  any  person  obtaining 
a  certificate  for  registration  as  a  nurse,  or  any  renewal  thereof,  to  register  the 
same  with  the  county  clerk  of  the  county  in  which  said  person  resided  at  the  time 
of  application,  within  ninety  (90)  days  from  issue  of  the  same,  shall  work  a  revoca- 
tion of  said  certificate:  Provided,  however,  that  a  certificate  revoked  for  failure  or 
refusal  of  its  holder  to  register  the  same  may  be  restored  upon  application  to  the 
Board  and  the  payment  of  a  fee  of  two  dollars  ($2.00)  for  the  issuance  of  a 
new  certificate.  Each  person  so  registered  as  a  nurse  shall  be  prepared,  when  re- 
quested in  connection  with  work  as  a  nurse,  to  exhibit  such  certificate  of  registra- 
tion or  a  certified  copy  thereof. 

SEC.  5.  CERTIFICATES. — All  certificates  issued  to  nurses  by  the  Board  shall 
contain  the  name  and  address  of  the  person  to  whom  it  is  granted,  the  date  of  its 
issuance,  shall  bear  the  seal  of  the  Board,  shall  be  signed  by  all  of  the  members, 
shall  be  attested  by  the  president  and  secretary  of  the  Board,  and  shall  confer 
authority  upon  the  person  to  whom  it  is  issued  to  practice  as  a  registered  nurse 
in  accordance  with  the  provisions  of  this  Act. 

SEC.  6.  COUNTY  CLERK  TO  KEEP  REGISTRATION  BOOK. — Every  county  clerk 
shall  keep  in  a  book  provided  for  the  purpose  a  complete  list  of  all  the  certificates 
registered  by  him  under  the  provisions  of  this  Act,  together  with  the  date  of  the 
issuance  and  registration  of  such  certificates,  and  within  sixty  days  after  this  Act 
becomes  effective,  shall  prepare  in  duplicate,  accompanied  by  his  official  certificate 
that  it  is  complete,  a  list  of  the  names  and  addresses  as  the  same  appear  of  record 
in  his  office,  with  the  date  of  registration,  of  all  nurses  registered  in  his  county 
under  any  previous  Act,  prior  to  July  i,  1913,  and  annually  thereafter,  before  the 
first  day  of  March,  shall  prepare  in  duplicate,  in  like  manner,  a  list  of  all  names 


FULL   TEXT   OF    LAWS  77 

registered  under  this  Act  during  the  preceding  calendar  year,  and  forward  said  lists 
in  duplicate  to  the  Secretary  of  State,  who  shall  keep  one  copy  thereof  on  file  in  his 
office,  and,  after  certifying  the  other  to  be  a  true  copy  of  a  part  of  the  records  of 
his  office,  shall  forward  the  same  to  the  secretary  of  the  Illinois  State  Board  of 
Nurse  Examiners,  to  be  kept  on  file  in  the  office  of  said  Board. 

SEC.  7.  QUALIFICATIONS  OF  APPLICANTS  FOR  REGISTRATION — WRITTEN 
APPLICATION — FEE — EXAMINATIONS — REGISTRATION  OF  CERTIFICATES  OF  OTHER 
STATES — No  person,  unless  previously  registered  or  licensed  to  act  as  a  registered 
nurse  in  this  State  at  the  time  this  Act  shall  become  operative,  shall  be  allowed  to 
act  as  a  registered  nurse  without  first  applying  for  and  obtaining  a  certificate  for 
such  purpose  from  the  Illinois  State  Board  of  Nurse  Examiners.  Application  shall  be 
made  to  said  Board  in  writing  and  shall  in  every  instance  be  accompanied  by  the  ex- 
amination fee  of  ten  dollars  ($10.00) ,  together  with  satisfactory  proof  that  the  appli- 
cant is  residing  in  the  State  of  Illinois,  is  of  good  moral  character,  is  at  least  twenty- 
two  (22)  years  of  age  at  the  time  of  making  the  application,  is  a  graduate  of  and 
has  a  diploma  from  an  accredited  school  for  nurses  connected  with  a  general  hospital 
requiring  a  systematic  course  of  at  least  three  (3)  years'  training,  and  possesses 
such  other  qualifications  as  may  be  prescribed  from  time  to  time  by  the  rules  of 
said  Board :  Provided,  however,  an  application  may  be  made  by  one  who  under  the 
rules  of  an  accredited  school  for  nurses  will  be  entitled  to  receive  a  diploma  within 
three  months  following  the  date  of  filing  said  application,  but  no  certificate  shall 
be  issued  to  such  applicant  until  he  or  she  has  received  such  diploma,  and  has 
satisfactorily  passed  the  prescribed  examinations.  When  such  application  and  the 
accompanying  proof  are  found  satisfactory,  the  Board  shall  notify  the  applicant 
to  appear  before  it  for  examination  at  a  time  and  place  to  be  fixed  by  the  Board. 
Examination  may  be  made  orally  and  in  writing,  and  shall  be  of  a  character  to 
test  the  qualifications  of  the  applicant  to  serve  as  a  registered  nurse.  All  examina- 
tions provided  for  in  this  Act  shall  be  conducted  by  the  Board,  which  shall  provide 
for  a  fair  and  wholly  impartial  method.  After  any  applicant  shall  have  paid  a  fee 
of  ten  dollars  ($10.00)  on  the  filing  of  an  application  for  examination,  any  subse- 
quent application  of  the  same  person  shall  be  taken  without  the  payment  of  a  fee: 
Provided,  however,  the  Board,  upon  written  application  and  upon  the  payment  of 
ten  dollars  ($10.00)  as  a  registration  fee,  may  issue  a  certificate  without  examina- 
tion of  the  applicant  who  shall  have  been  registered  as  a  registered  nurse  under  the 
law  of  another  State  having  requirements  which  in  the  opinion  of  a  majority  of 
the  members  of  said  Board,  subject  to  the  approval  of  the  Attorney-General, 
are  of  equal  or  higher  standard  than  those  of  the  State  of  Illinois  for  registration 
of  nurses. 

SEC.  8.  WHEN  SPECIAL  COURSE  SUFFICIENT  FOR  REGISTRATION. — Applicants 
shall  also  be  eligible  for  examination  for  registration  who,  at  the  time  of  application, 
shall  have  graduated  and  received  a  diploma  from  a  school  for  nurses  connected 
with  any  hospital  of  good  standing  requiring  a  systematic  course  of  at  least  two 
(2)  years'  training,  and  who,  being  of  the  age  herein  prescribed  or  over  and  of  good 
moral  character,  shall  have  either  filed  application  for  examination  within  six  (6) 
months  next  following  the  date  upon  which  this  Act  becomes  in  force  and  effect, 
or,  at  the  time  of  application,  shall  have  obtained  in  any  hospital  of  good  standing 
one  (i)  year's  additional  training  in  subjects  not  adequately  taught  in  the  school 
for  nurses  from  which  they  graduated,  and  shall  satisfactorily  pass  an  examination 
to  determine  their  fitness  and  ability  to  give  efficient  care  to  the  sick. 

SEC.  9.  UNLAWFUL  TO  PRACTICE  AS  REGISTERED  NURSE  WITHOUT  CERTIFI- 
CATE.— It  shall  be  unlawful  hereafter  for  any  person  to  practice  or  attempt  to 
practice  in  this  State  as  a  registered  nurse  without  a  certificate  from  the  Board. 
Any  person  who  has  received  such  a  certificate  shall  be  styled  and  known  as  a 
registered  nurse,  and  shall  be  entitled  to  append  the  letters  "R.  N."  to  his  or  her 
name.  No  person  shall  assume  or  use,  or  knowingly  allow  or  permit  any  other 
person  to  use,  such  abbreviation  "R.  N.,"  or  any  other  words,  letters,  or  figures 


78  STATE   REGISTRATION   FOR   NURSES 

after  his  own  name  or  after  the  name  of  any  other  person  for  the  purpose  of  indicat- 
ing that  such  person  is  a  registered  nurse,  unless  the  person  after  whose  name  the 
said  letters,  abbreviations,  or  words  are  so  used,  is  in  fact  a  registered  nurse  and 
entitled  under  the  provisions  of  this  law  to  act  as  such. 

SEC.  10.  PENALTY. — Any  person  who  shall  practice,  or  in  any  way  represent 
himself  or  herself,  or  any  other  person,  as  a  registered  nurse  in  this  State  without 
such  person  holding  a  certificate  duly  registered  and  recorded  as  provided  by  this 
Act,  or  who  shall  violate  any  of  the  provisions  of  this  Act,  shall  be  subject  to  prose- 
cution in  any  court  of  competent  jurisdiction  upon  complaint,  information,  or  in- 
dictment, and  shall,  upon  conviction,  be  fined  for  each  offense  in  any  sum  not  more 
than  one  hundred  dollars  ($100.00)  for  the  first  offense  nor  more  than  two  hundred 
dollars  ($200.00)  for  each  subsequent  offense. 

Any  person  who  shall  wilfully  make  any  false  representations  to  the  Board  in 
applying  for  a  certificate  shall  be  guilty  of  a  misdemeanor,  and  upon  conviction 
shall  be  fined  in  a  sum  not  more  than  two  hundred  dollars  ($200.00) . 

SEC.  ii.  REVOCATION  OF  CERTIFICATE — RENEWAL. — Registered  nurses'  cer- 
tificates issued  in  accordance  with  the  provisions  of  this  Act  shall  remain  in  full 
force  until  revoked  for  cause,  as  hereinafter  provided.  Any  certificate  so  granted 
may  be  revoked  by  unanimous  vote  of  the  Illinois  State  Board  of  Nurse  Examiners 
for  gross  incompetency  or  recklessness  in  the  discharge  of  duty  as  a  registered  nurse, 
or  for  dishonest  practices  on  the  part  of  the  holder  thereof;  but  before  any  cer- 
tificate shall  be  revoked  such  holder  shall  be  entitled  to  at  least  thirty  (30)  days' 
notice  in  writing  of  the  charge  against  him  or  her,  together  with  notice  of  the  time 
and  place  of  the  meeting  of  the  Board  for  the  hearing  and  determining  of  such  charge, 
and  shall  be  entitled  to  a  full,  fair,  and  impartial  hearing  of  such  charges  under 
rules  to  be  adopted  from  time  to  time  by  the  said  Board.  On  the  cancellation 
of  such  certificate  it  shall  be  the  duty  of  the  secretary  of  the  Board  to  give  notice 
of  such  cancellation  to  the  county  clerk  of  the  county  in  which  the  certificate  has 
been  registered,  whereupon  said  county  clerk  shall  note  such  cancellation  on  the 
registration  book  in  his  office.  Upon  satisfactory  evidence  of  reasons  for  the 
reinstatement  of  a  registered  nurse  whose  certificate  has  been  thus  revoked,  the 
Board  may,  six  months  after  the  date  of  such  revocation,  or  any  time  thereafter, 
issue  a  new  certificate  to  the  said  nurse  without  examination,  upon  payment  to 
the  board  of  a  fee  of  five  dollars  ($5.00). 

SEC.  12.  APPEAL  TO  CIRCUIT  COURT  FROM  CERTAIN  RULINGS  OF  BOARD. — Any 
person  whose  certificate  as  a  registered  nurse  shall  be  revoked,  or  to  whom  a  renewal 
of  such  certificate  previously  issued  shall  be  denied,  or  any  training-school  for  nurses 
whose  application  to  be  placed  upon  the  list  of  accredited  training-schools  for  nurses 
shall  be  denied,  or  whose  name  is  stricken  from  such  list,  by  ruling  of  the  Board, 
without  the  consent  of  such  training-school,  may,  within  thirty  (30)  days  after 
such  action  by  the  Board,  file  in  the  circuit  court  of  the  county  in  which  such  nurse 
resides,  or  in  which  such  training-school  for  nurses  is  located,  a  petition  against  the 
Illinois  State  Board  of  Nurse  Examiners,  officially,  as  defendant,  alleging  therein, 
under  oath,  and  in  brief  detail  the  petitioner's  qualifications  for  and  rights  to  the 
privileges  denied  such  petitioner  by  the  ruling  of  the  Board,  and  praying  for  a 
reversal  of  such  ruling,  upon  entry  of  appearance  by,  or  service  of  summons  upon 
said  Board  as  hereinafter  provided  for,  the  Board  shall  file  an  answer  as  in  actions 
in  chancery,  but  not  under  oath,  in  which  shall  allege  by  way  of  defense,  the  grounds 
previously  held  by  it  as  responsible  for  its  adverse  ruling  against  such  nurse  or 
training-school.  All  allegations  of  the  answer  shall  be  deemed  to  stand  denied 
without  further  pleading,  and  upon  application  of  either  party  thereto  the  cause 
shall  be  advanced  and  heard  without  delay. 

Either  party  to  such  proceeding  shall  have  the  right  to  a  trial  by  jury,  provided 
a  demand  therefor  be  made  in  writing  in  the  first  instance  upon  the  filing  of  the 
petition  or  answer,  but  either  party  may  thereafterward  waive  such  demand  for 
a  jury  trial.  The  burden  shall  rest  upon  the  petitioner  to  disprove  the  grounds 


FULL   TEXT   OF   LAWS  79 

assigned  and  specified  for  the  official  action  of  the  Board  complained  of.  The 
court's  decision  shall  be  final,  but  if  adverse  to  the  petitioner,  it  shall  not  bar  a  new 
application  to  the  Board  for  a  renewal  of  a  revoked  certificate  for  registration  under 
the  provisions  of  this  Act,  nor  after  the  lapse  of  six  (6)  months  from  its  rendition 
in  the  case  of  training-schools  shall  it  bar  a  new  application  of  the  petitioner  to  be 
placed  on  the  list  of  accredited  schools,  nor  shall  a  decision  of  the  court  in  favor  of 
the  petitioner  prevent  the  Board  from  thereafter  taking  similar  adverse  action 
against  the  petitioner  for  sufficient  cause  which  may  thereafter  accrue  or  be  dis- 
covered. 

For  the  purpose  of  affording  the  right  of  such  appeals,  in  any  actions  instituted 
hereunder,  service  of  process  may  be  had  on  said  Board  by  serving  a  summons 
upon  the  president,  secretary,  or  any  member  of  said  Board,  in  the  county  in  which 
the  office  of  the  Board  is  located  or  in  any  county  of  the  State  where  any  one  of 
said  persons  may  be  found,  for  which  purpose  of  service  process  may  issue  directed 
to  any  county  in  the  State  as  in  the  case  of  summons  issued  against  parties  defendant 
residing  in  foreign  counties. 

SEC.  13.  EXEMPTION  FROM  JURY  SERVICE. — All  registered  nurses  in  this  State 
shall  be  exempt  from  service  as  jurors  in  any  of  the  courts  in  this  State. 

SEC.  14.  To  WHOM  DOES  NOT  APPLY. — This  Act  shall  not  affect  or  apply  to 
the  gratuitous  nursing  of  the  sick  by  friends  or  members  of  the  family,  nor  to  any 
person  nursing  the  sick  for  hire,  who  does  not  in  any  way  assume  or  pretend  to  be 
a  registered  nurse,  and  this  Act  shall  not  interfere  in  any  manner  with  members 
of  religious  communities  who  have  charge  of  hospitals,  or  who  are  engaged  in 
nursing  hi  hospitals,  or  take  care  of  the  sick  in  their  own  homes,  provided  such 
members  do  not  in  any  way  assume  to  be  registered  nurses. 

SEC.  15.  REPEAL  OF  ACT  OF  MAY  2,  1907 — BOARD  TO  SUCCEED  TO  OBLIGA- 
TIONS, FUNDS,  AND  BUSINESS  OF  STATE  BOARD  OF  EXAMINERS  OF  REGISTERED 
NURSES. — "An  Act  relating  to  nurses  and  providing  for  their  registration,"  approved 
May  2, 1907,  in  force  July  i,  1907,  is  hereby  repealed:  Provided,  however,  that  all  ap- 
plications filed  with  the  State  Board  of  Examiners  of  Registered  Nurses  under  the  pro- 
visions of  said  Act  shall  be  recognized  by  the  Illinois  State  Board  of  Nurse  Exam- 
iners created  hereunder,  and  shall  be  treated  as  though  filed  under  the  provisions 
of  this  Act;  also  that  said  new  Board  created  hereunder  shall,  upon  organizing, 
succeed  to  and  be  chargeable  with  any  outstanding  financial  obligations  or  indebted- 
ness of  said  Board  of  Examiners  of  Registered  Nurses  created  under  said  Act 
hereby  repealed,  and,  in  like  manner,  shall  succeed  to,  collect,  take  over,  receive, 
and  account  for,  all  moneys,  credits,  or  appropriations  due  or  hereafter  to  come 
due,  or  which  may  be  in  the  hands  of  said  old  Board  at  the  time  of  the  organi- 
zation of  the  new  Board  hereby  created,  and  shall  receive,  account  for,  and 
handle  any  moneys  so  collected  or  taken  over,  as  well  as  all  other  funds  hereafter 
coming  into  its  hands,  in  the  manner  now  or  hereafter  provided  for  by  law;  and 
shall  also  take  over  the  records  and  equipment  of  the  State  Board  of  Examiners 
of  Registered  Nurses  and  its  unfinished  business. 

INDIANA 

A  Bill  for  an  Act  Requiring  the  Registration  of  all  Trained  Nurses,  Providing  a 
Board  of  Registration  and  Examination,  Fixing  the  Number,  Duties,  and  Qualifications 
of  said  Board,  and  Providing  for  the  Registration  of  Nurses,  Providing  Penalties  for 
Violation  of  said  Act. 

SECTION  i.  Be  it  enacted  by  the  General  Assembly  of  the  State  of  Indiana, 
That  upon  the  taking  effect  of  this  Act  the  Governor  shall  appoint,  within  sixty 
days,  a  State  Board  of  Registration  and  Examination  of  Nurses,  to  be  composed 
of  five  members  who  have  had  not  less  than  five  years'  experience  in  their  pro- 
fession, exclusive  of  their  training,  and  who  shall  not  be  connected  with  any  hospital. 
One  of  these  members  shall  be  designated  by  the  Governor  to  hold  office  for  one 


80  STATE   REGISTRATION   FOR  NURSES 

year,  two  for  two  years,  and  two  for  three  years,  and  thereafter,  upon  the  expira- 
tion of  the  term  of  office  of  the  person  or  persons  so  appointed,  the  Governor  shall 
appoint  successors  to  such  person  or  persons  to  hold  office  for  three  years.  All 
vacancies  occurring  on  this  Board  shall  be  filled  by  the  Governor  from  persons 
qualified  as  above  stated. 

SEC.  2.  The  members  of  the  said  State  Board  of  Registration  and  Examination 
shall  meet  in  the  city  of  Indianapolis  as  soon  as  organized,  and  annually  thereafter 
in  the  month  of  July  shall  elect  from  their  members  a  president  and  also  a  secre- 
tary, who  shall  be  the  treasurer.  Three  members  shall  constitute  a  quorum,  and 
special  meetings  of  the  Board  shall  be  called  by  the  secretary  upon  the  written 
request  of  any  two  members.  The  State  Board  of  Registration  and  Examination 
is  authorized  to  frame  such  by-laws  as  may  be  necessary  to  govern  its  actions.  The 
secretary  shall  be  required  to  keep  a  record  of  all  meetings  of  the  Board,  including 
a  register  of  the  names  of  all  nurses  duly  registered  under  this  Act;  said  register 
shall,  at  all  reasonable  times,  be  open  to  public  scrutiny,  and  the  Board  shall  cause 
the  prosecution  of  all  persons  violating  any  of  the  provisions  of  this  Act,  and  may 
incur  necessary  expense  on  this  behalf.  The  said  by-laws  shall  provide  the  subjects 
upon  which  applicants  shall  be  examined.  The  secretary  shall  receive  a  salary  to 
be  fixed  by  the  Board  not  to  exceed  five  hundred  ($500)  dollars  per  annum,  also 
traveling  and  other  expenses  incurred  in  the  discharge  of  their  official  duties.  The 
other  members  of  the  Board  shall  receive  five  ($5.00)  dollars  per  day  for  each  day 
actually  engaged  at  meetings  of  the  Board,  and  legitimate  and  necessary  expense. 
Said  expenses  and  salary  shall  be  paid  from  fees  received  by  the  Board  under  the 
provisions  of  this  Act,  and  no  part  of  salaries  or  other  expenses  of  the  Board  shall 
be  paid  out  of  the  State  Treasury. 

SEC.  3.  The  Clerk  of  the  Circuit  Court  of  any  county,  upon  presentation  to 
him  of  a  certificate  from  the  State  Board  of  Registration  and  Examination,  shall 
register  the  date  of  registration,  with  the  name,  residence,  and  address  of  the  holder 
thereof,  in  a  book  to  be  kept  in  his  office  for  this  purpose,  and  marked  "Register 
of  Trained  Nurses,"  and  shall  issue  to  the  applicant  a  certificate  of  such  registra- 
tion under  the  seal  of  the  Circuit  Court  of  the  county,  for  which  registration  he 
shall  be  paid  fifty  cents  by  the  applicant. 

SEC.  4.  That  after  June  i,  1908,  it  shall  be  the  duty  of  said  Board  of  Registra- 
tion and  Examination  to  meet  not  less  frequently  than  once  a  year.  Notice  of 
each  meeting  shall  be  given  in  one  daily  newspaper  and  in  one  nursing  or  medical 
journal,  published  within  the  State  of  Indiana,  thirty  days  prior  to  said  meeting. 
At  these  meetings  it  shall  be  the  duty  of  said  Board  of  Registration  and  Examina- 
tion to  examine  the  diplomas  and  credentials  of  all  applicants  for  registration  under 
this  Act.  Said  Board  shall  also  examine  such  applicants  on  the  branches  usually 
taught  in  the  training-schools  for  nurses  to  determine  their  fitness  and  ability  to 
give  efficient  care  to  the  sick.  The  said  Board  shall  require  of  each  applicant  for  ex- 
amination and  registration  a  fee  of  ten  ($10.00)  dollars,  to  be  paid  upon  application. 

SEC.  5.  That  after  June  i,  1908,  the  applicant  shall  furnish  satisfactory  evi- 
dence that  he  or  she  is  twenty-one  years  of  age,  of  good  moral  character,  has  re- 
ceived the  equivalent  of  a  common  school  education,  and  has  been  graduated  from 
a  training-school  for  nurses  connected  with  a  general  hospital  approved  by  the 
Board,  where  a  systematic  course  of  two  years'  instruction  is  given  (as  amended 
February,  1907). 

SEC.  6.  Any  resident  of  the  State  of  Indiana,  being  over  the  age  of  twenty- 
one  years,  of  good  moral  character,  holding  a  diploma  from  a  training-school  for 
nurses  connected  with  a  general  hospital  giving  a  course  of  at  least  two  years' 
training  or  having  had  seven  years'  experience,  three  of  which  shall  have  been  spent 
in  a  general  or  special  hospital  and  engaged  in  professional  nursing  at  the  date  of 
or  prior  to  the  passage  of  this  Act,  shall  be  entitled  to  registration  without  examina- 
tion, provided  such  application  be  made  before  January  i,  1906.  All  nurses  in 
training  at  the  time  of  the  passage  of  this  Act  and  possessing  the  above  qualifica- 


FULL   TEXT   OF   LAWS  8 1 

tions  shall  be  entitled  to  registration  without  examination,  provided  application 
is  made  before  June  i,  1908.  Graduates  of  training-schools  in  connection  with 
special  hospitals  giving  a  two  years'  course,  who  shall  obtain  six  months'  additional 
training  in  a  general  hospital  approved  by  the  State  Board  of  Registration  and 
Examination,  shall  be  eligible  for  registration  without  examination  before  June  i, 
1908;  or  said  graduates  shall  be  eligible  for  registration  prior  to  said  date  who  have 
nursed  five  years  prior  to  the  passage  of  this  Act;  or  upon  passing  of  special  exami- 
nation before  the  State  Board  of  Registration  and  Examination  in  subjects  not 
adequately  taught  in  the  training-school  from  which  they  have  been  graduated. 

The  by-laws  shall  provide  for  the  examination  and  qualifications  of  nurses 
who  make  application  before  January  i,  1906,  who  have  not  graduated  from  a  train- 
ing-school, and  who  have  been  engaged  in  nursing  ten  years,  and  who  are  otherwise 
eligible,  and  who  shall  present  required  credentials  from  physicians  for  whom  they 
have  nursed. 

All  applicants  under  this  section  shall  pay  to  the  said  Board  the  sum  of  five 
($5.00)  dollars  at  the  time  of  making  application. 

SEC.  7.  The  State  Board  of  Registration  and  Examination  shall  have  power 
after  thirty  days'  notice,  upon  written  charge  being  preferred  and  the  tune  and  place 
of  meeting  being  fixed,  and  after  full  and  free  hearing  of  the  same  by  a  majority 
vote  of  the  entire  Board,  to  revoke  any  license  issued  by  said  Board  for  gross 
incompetency,  dishonesty,  habitual  intemperance,  or  any  other  act  in  the  judgment 
of  the  Board  derogatory  to  the  morals  or  standing  of  the  profession  of  nursing. 
Upon  the  revocation  of  the  license  or  certificate  the  name  of  the  holder  thereof 
shall  be  striken  from  the  roll  of  registered  nurses  in  the  hands  of  the  secretary  of 
the  Board  and  notice  sent  of  same  to  the  Clerk  of  the  Circuit  Court  of  the  county 
in  which  he  or  she  resides,  and  there  shall  be  no  appeal  therefrom. 

SEC.  8.  Every  person  who  shall  have  duly  received  a  license  and  certificate 
in  accordance  with  the  provisions  of  this  Act  shall  be  known  and  styled  a  "registered 
nurse,"  and  it  shall  be  unlawful  after  one  year  from  the  passage  of  this  Act  for  any 
person  to  practice  or  advertise  as  or  assume  the  title  of  trained  nurse  or  graduate 
nurse,  or  to  use  the  abbreviations  of  "T.  N."  or  "G.  N.,"  or  any  other  words,  letters, 
or  figures  to  indicate  that  the  person  using  the  same  is  a  trained,  registered,  or 
graduate  nurse,  unless  he  or  she  shall  first  have  received  a  license  and  certificate 
in  accordance  with  the  provisions  of  this  Act. 

SEC.  9.  This  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  and,  also,  it  shall  not  apply 
to  any  person  nursing  the  sick  for  hire  who  does  not  in  any  way  assume  to  be  a 
registered  or  graduate  nurse. 

SEC.  10.  Any  person  violating  any  of  the  provisions  of  this  Act  shall  be  guilty 
of  a  misdemeanor,  punishable  by  a  fine  of  not  less  than  twenty-five  ($25.00)  dollars 
and  not  more  than  fifty  ($50.00)  dollars  for  the  first  offense,  and  not  less  than  fifty 
($50.00)  dollars  and  not  more  than  one  hundred  ($100.00)  dollars  for  each  subse- 
quent offense. 

(Supplemental) 

SEC.  i.  Be  it  enacted  by  the  General  Assembly  of  the  State  of  Indiana,  That 
the  State  Board  of  Registration  and  Examination  of  Nurses  shall  have  power  to 
make  and  establish  all  necessary  rules  and  regulations  for  the  reciprocal  recognition 
of  certificates  for  nurses  issued  by  other  States,  and  to  prevent  unjust  and  arbitrary 
exclusion  by  other  States  of  registered  nurses  who  have  complied  with  the  require- 
ments of  the  laws  of  this  State. 

SEC.  2.  All  nurses  who  have  served  as  such  in  the  Army  or  Navy  of  the  United 
States,  and  have  been  honorably  discharged,  shall  be  entitled  to  be  registered 
without  examination. 

SEC.  3.  Whereas,  An  emergency  exists  for  the  immediate  taking  effect  of  this 
Act,  the  same  shall  be  in  full  force  and  effect  from  and  after  its  passage. 


82  STATE   REGISTRATION   FOR   NURSES 

IOWA 

CHAPTER  CXXXIX,  ACTS  OF  THE  320   GENERAL  ASSEMBLY 
REGISTERED  NURSES 

An  Act  to  Provide  for  the  Examination  and  Regulation  of  Graduate  Nurses. 
Also  to  Regulate  the  Practice  of  Nursing  by  Graduate  Nurses  and  to  Provide  a  Penalty 
for  the  Violation  Thereof. 

SECTION  i.  It  shall  be  unlawful  for  any  person  to  profess  to  be  a  registered 
nurse  without  first  obtaining  from  the  State  Board  of  Health  a  certificate  author- 
izing him  or  her  to  practice  nursing  in  this  State,  except  as  hereinafter  provided. 

SEC.  2.  At  the  annual  meeting  of  the  State  Board  of  Health  it  shall  select 
two  physicians  from  its  own  membership,  and  two  graduate  nurses,  residents  of 
this  State,  actively  engaged  in  the  practice  of  nursing,  who,  together  with  the  sec- 
retary of  the  State  Board  of  Health,  shall  constitute  the  examining  committee  for 
the  year.  The  examinations  provided  for  in  this  Act  shall  be  held  in  the  city  of 
Des  Moines  in  July  of  each  year  and  at  such  other  times  and  places  as  the  Board 
of  Health  shall  direct.  All  applicants  for  certificate  to  practice  nursing  shall  have 
attained  the  age  of  twenty-three  (23)  years  and  shall  be  of  good  moral  character. 
They  shall  be  graduates  of  training-schools  recognized  as  being  in  good  standing 
by  the  State  Board  of  Health  of  Iowa,  and  shall  have  received  at  least  two  (2)  years' 
instruction  in  general  hospital  practice.  After  July  i,  1910,  no  training-school  shall 
be  accredited  by  the  State  Board  of  Health  as  a  school  of  recognized  standing  which 
is  not  attached  to  a  general  hospital  and  which  does  not  have  a  course  of  study  of 
at  least  three  (3)  years.  All  graduate  nurses  who  are  residents  of  the  State  and 
who  have  been  engaged  in  the  practice  of  nursing  prior  to  the  passage  of  this  Act 
shall  be  granted  a  certificate  without  examination  upon  the  payment  of  the  regis- 
tration fee  of  five  ($5.00)  dollars,  and  the  same  rule  shall  apply  to  all  nurses  who 
graduate  from  a  recognized  school  prior  to  July  i,  1907.  Nurses  holding  diplomas 
from  hospital  training-schools  of  recognized  standing,  upon  application  to  the 
secretary  of  the  State  Board  of  Health,  shall  be  granted  a  permit  to  practice  until 
the  first  examination  of  the  Board  following  the  issuance  of  said  permit. 

SEC.  3.  After  the  passage  of  this  Act,  any  person  who  is  not  exempt  from  exami- 
nation by  Section  Two  (2)  of  this  Act  and  who  shall  apply  for  a  certificate  to  prac- 
tice nursing  shall  be  examined  in  the  following  subjects:  Elementary  Hygiene, 
Anatomy,  Physiology,  Materia  Medica,  Dietetics,  and  also  Practical  Nursing, 
Medical  and  Surgical  Nursing,  Obstetrics,  Nursing  of  Children,  and  the  rules  and 
regulations  of  the  State  Board  of  Health  relating  to  infectious  diseases  and  quaran- 
tine and  such  other  subjects  as  the  Examining  Board  may  require  from  time  to 
time.  Each  applicant  shall  pay  the  secretary  of  the  State  Board  of  Health  a  fee 
of  five  ($5.00)  dollars.  If  the  examination  be  satisfactory  to  three  members  of 
said  committee,  it  shall  so  report  to  the  State  Board  of  Health;  if  the  Board  find 
the  report  and  ratings  correct,  it  shall  authorize  its  president  and  secretary  to 
issue  a  certificate  to  the  successful  candidate,  for  which  such  candidate  shall  pay 
an  additional  fee  of  one  ($1.00)  dollar.  This  certificate  shall  confer  upon  the 
holder  the  right  to  practice  as  a  registered  nurse,  and  be  conclusive  evidence  thereof. 
The  State  Board  of  Health  is  empowered  to  recognize  certificates  issued  to  nurses 
under  the  laws  of  other  States  having  substantially  similar  requirements  to  those 
existing  in  this  State;  provided,  That  such  States  recognize  certificates  issued  by 
the  State  of  Iowa;  then  certificates  issued  by  authority  of  such  other  States  may  be 
deemed  sufficient  evidence  of  qualifications  of  the  licentiate  without  further  exami- 
nation for  certificate  in  this  State;  the  fee  for  such  certificate  shall  be  ten  ($10.00) 
dollars.  The  holder  of  such  certificate  provided  for  in  this  Act  shall  cause  the  same 
to  be  registered  in  the  office  of  the  County  Recorder  of  the  county  wherein  he 
intends  to  reside. 


FULL   TEXT   OF   LAWS  83 

SEC.  4.  No  person  after  January  i,  1908,  except  one  holding  a  certificate 
under  authority  of  this  Act,  shall  advertise  to  be  or  assume  the  title  of  registered 
nurse  or  use  the  abbreviation  "R.  N.,"  or  any  other  words,  letters,  or  figures  to  indi- 
cate that  the  person  using  the  same  is  a  registered  nurse,  and  it  shall  be  unlawful 
for  any  graduate  nurse  to  practice  nursing  as  a  graduate  or  registered  nurse  in 
the  State  of  Iowa  without  first  having  registered  under  this  Act. 

SEC.  5.  This  Act  shall  not  apply  to  any  person  nursing  the  sick  with  or  without 
pay  who  does  not  in  any  way  assume  to  be  a  registered  or  graduate  nurse. 

SEC.  6.  The  Board  of  Health  may  refuse  to  grant,  or  renew,  any  certificate 
provided  for  in  this  Act,  to  a  person  otherwise  qualified,  who  obtained  said  cer- 
tificate by  false  or  fraudulant  representation,  or  for  immoral  or  unprofessional  or 
dishonorable  conduct,  or  for  wilful  or  repeated  violation  of  the  rules  or  regulations 
of  the  State  Board  of  Health;  and  the  Board  may  revoke  any  certificate  issued 
by  it,  for  any  such  or  similar  cause;  provided,  that  before  the  revocation  of  any 
certificate  issued  under  the  provisions  of  this  Act,  the  licentiate  shall  have  been 
afforded  an  opportunity  for  a  hearing  before  the  Board.  At  least  twenty  (20) 
days  prior  to  the  date  set  for  such  hearing,  the  secretary  of  the  State  Board  of 
Health  shall  cause  written  notice,  under  registered  mail,  to  be  sent  to  the  licen- 
tiate at  his  last-known  place  of  residence;  said  notice  shall  contain  a  statement  of 
the  charges,  and  the  date  and  place  set  for  the  hearing  before  the  Board.  If  the 
party  thus  notified  fails  to  appear,  either  in  person  or  by  counsel,  at  the  time  and 
place  designated  in  said  notice  the  Board  may,  after  receiving  satisfactory  evidence 
of  the  truth  of  the  charges  and  the  proper  issuance  of  the  notice,  revoke  said  cer- 
tificate. If  the  licentiate  appear,  either  in  person  or  by  counsel,  the  Board  shall 
proceed  with  the  hearing  as  herein  provided.  The  Board  may  receive  and  consider 
affidavits  and  oral  statements,  and  shall  cause  stenographic  report  of  the  oral  tes- 
timony to  be  taken,  which,  together  with  all  other  papers  pertaining  thereto,  shall 
be  preserved  for  one  (i)  year.  If  five  (5)  members  of  the  Board  present  at  the 
hearing  are  satisfied  that  the  licentiate  is  guilty  of  any  of  the  offenses  charged, 
the  certificate  shall  be  revoked,  for  such  time  as  the  State  Board  of  Health  may 
determine. 

SEC.  7.  Each  member  of  the  examining  committee,  except  the  secretary, 
shall  receive  for  his  services  out  of  the  funds  created  by  the  payment  of  fees  by 
applicants  for  examination  such  compensation  as  is  allowed  to  the  members  of  the 
State  Board  of  Medical  Examiners  for  like  services,  and  the  secretary  shall  receive 
his  necessary  expenses  incurred  for  services  which  cannot  be  performed  at  the 
Capitol.  All  printing,  postage,  and  other  contingent  expenses,  necessarily  incurred 
under  the  provisions  of  this  Act,  shall  be  paid  from  said  fund.  All  expenses  incurred 
under  the  provisions  of  this  Act  shall  be  itemized,  verified,  and  audited,  and  a 
warrant  drawn  therefor  on  the  nurses'  fund  in  the  same  manner  as  other  expenses 
of  the  State  Board  of  Health. 

SEC.  8.  Any  person  who  shall  knowingly  violate  any  of  the  provisions  of  this 
Act  shall  be  guilty  of  misdemeanor,  and,  upon  conviction  thereof,  shall  be  fined  a 
sum  not  exceeding  one  hundred  ($100.00)  dollars  or  imprisonment  in  the  county 
jail  for  not  exceeding  thirty  (30)  days. 

KANSAS 

Be  it  Enacted  by  the  Legislature  of  the  State  of  Kansas: 

SECTION  i.  That  upon  taking  effect  of  this  Act,  the  governor  shall  appoint 
a  Board  of  Examiners,  four  of  whom  shall  be  graduated  nurses  appointed  from  a  list 
of  twenty  nominated  by  the  Kansas  State  Association  of  Nurses,  together  with  the 
secretary  of  the  State  Board  of  Medical  Registration  and  Examination,  constitute 
a  Board  for  the  examination  of  trained  nurses.  Such  appointees  shall  be  chosen 
from  the  actual  residents  of  this  State,  and,  except  the  registered  physician,  from 


84  STATE   REGISTRATION   FOR   NURSES 

nurses  who  are  actively  engaged  in  nursing,  and  who  have  graduated  from  reputable 
training-schools  giving  a  two  years'  course  of  training,  who  have  served  in  hos- 
pitals of  good  standing  having  a  charter  and  who  have  had  five  years'  experience  hi 
nursing.  The  four  persons  so  appointed  shall  be  appointed  in  two  classes  as  follows: 
Two  shall  be  appointed  to  hold  office  for  two  years  and  two  shall  be  appointed  to 
hold  office  for  four  years,  beginning  with  the  first  day  of  July,  1913,  and  until 
their  successors  are  appointed  and  qualified,  and  thereafter  the  governor  shall 
appoint  on  or  before  the  first  day  of  July  in  every  odd-numbered  year  persons 
qualified  as  aforesaid,  in  each  class,  to  hold  office  for  four  years  from  the  first  day 
of  July,  next  ensuing.  Each  member  of  said  Board  shall  take  and  subscribe  the 
oath  prescribed  by  law  for  State  Officers,  which  oath  shall  be  filed  with  the  Secre- 
tary of  State.  In  the  event  the  appointment  of  the  successor  is  not  made  on  the 
expiration  of  the  term  of  any  member,  such  member  of  said  Board  shall  hold  office 
until  such  successor  is  duly  appointed  and  qualified.  The  Governor  shall  fill  vacan- 
cies occasioned  by  death  or  otherwise,  and  may  remove  any  member  for  the  con- 
tinued neglect  of  duties  required  by  this  Act.  Vacancies  in  said  Board  shall  be 
filled  in  accordance  with  the  provisions  of  this  Act  for  the  establishment  of  the 
original  Board,  and  persons  appointed  to  fill  vacancies  shall  be  selected  from  reg- 
istered nurses,  and  shall  hold  office  during  the  unexpired  portion  of  the  term  for 
which  their  predecessors  were  appointed. 

SEC.  2.  The  members  of  said  Board  shall  meet  on  the  first  Tuesday  in  July, 
1913,  at  Topeka,  and  shall  elect  a  president,  vice-president,  and  secretary  from  their 
own  number,  each  of  whom  shaft  hold  his  or  her  respective  office  for  two  years. 
The  Board  shall  adopt  rules  and  regulations  not  inconsistent  with  this  Act  to 
govern  its  proceedings,  and  shall  have  a  seal,  of  which  the  secretary  shall  have  the 
care  and  custody.  The  secretary  shall  have  the  power  and  authority  to  administer 
oaths.  He  or  she  shall  keep  a  record  of  all  proceedings  of  the  Board,  including  a 
register  of  the  names  of  all  the  nurses  duly  registered  under  this  Act,  which  shall 
be  open  at  all  reasonable  times  to  public  scrutiny.  Three  members  shall  constitute 
a  quorum  for  the  transaction  of  business.  Said  Board  shall  hold  one  regular  meet- 
ing in  each  year  and  such  additional  meetings  at  such  times  and  places  as  it  may 
determine.  Notices  of  such  meetings  shall  be  published  hi  the  official  State  paper 
and  in  the  American  Journal  of  Nursing  at  least  thirty  days  previous  to  such 
meeting.  The  secretary  shall  give  to  the  State  Treasurer  a  bond  for  the  faithful 
discharge  of  his  or  her  duties  in  the  penal  sum  of  one  thousand  dollars  ($1000.00), 
with  one  or  more  sufficient  sureties  to  be  approved  by  the  Governor. 

SEC.  3.  On  or  after  the  first  day  of  July,  1913,  all  persons  engaged  in  the  prac- 
tice of  professional  nursing  and  all  who  may  wish  to  begin  the  same  in  the  State, 
except  as  hereinafter  provided,  shall  make  application  to  said  Board  to  be  registered 
and  to  be  furnished  a  certificate  of  registration.  This  registration  and  certificate 
shall  be  granted  to  such  applicants  as  shall  give  satisfactory  proof  of  being  twenty- 
one  years  of  age,  of  good  moral  character,  and  of  having  received  the  equivalent  of 
a  common  school  education.  Each  applicant  shall  comply  with  at  least  one  of  the 
following  conditions:  Without  examination — first,  the  applicant  shall  be  registered 
and  shall  receive  a  certificate  of  registration  without  examination,  if  he  or  she  shall 
present  a  diploma  issued  before  July  i,  1913,  by  a  training-school  connected  with 
a  general  hospital,  state  hospital,  sanitorium,  or  special  hospital  holding  a  charter, 
and  applicants  holding  certificate  issued  by  a  hospital  or  sanitorium  without  a  charter 
prior  to  July  i,  1913,  where  a  two  years'  course  of  training  is  required  with  a  system- 
atic instruction  in  lie  hospitals,  or  from  one  or  more  general  hospitals  of  good  stand- 
ing, supplying  a  systematic  training  corresponding  to  the  above  standing,  and  any 
applicant  holding  a  certificate,  issued  prior  to  1905,  by  a  general,  private,  or  State 
hospital  or  sanitorium,  giving  a  one  year's  course  of  training,  said  applicant  having 
had  not  less  than  seven  years'  practice.  Second,  that  applicant  shall  be  registered 
and  receive  a  certificate  thereof  without  examination  if  he  or  she  shall  have  a  di- 
ploma from  a  training-school  connected  with  the  general  hospital,  sanitorium,  or 


FULL   TEXT   OF   LAWS  85 

special  hospital,  giving  a  two  years'  training  and  having  a  charter.  Third,  the  ap- 
plicant shall  be  registered  and  given  a  certificate  after  July  i,  1913,  who  shall  pre- 
sent to  the  Board  a  certified  copy  of  or  certificate  of  registration  or  license  from 
another  state  of  the  Union,  where  the  requirement  of  registration  shall  be  deemed 
by  said  Board  to  be  equivalent  to  those  of  this  Act,  upon  payment  of  the  usual  fee  for 
certificate  thereof.  Fourth,  after  July  i,  1913,  the  applicant  shall  be  registered  or 
given  a  certificate  thereof  if  he  or  she  shall  have  diploma  from  a  training-school  con- 
nected with  a  hospital  holding  a  charter  requiring  a  two  years'  course  of  training  with 
systematic  instruction  in  a  general  hospital,  State  hospital,  sanitorium,  or  special  hos- 
pital in  good  standing,  and  upon  passing  such  examination  before  the  Board  at  such 
time  and  place  as  it  may  designate  and  in  accordance  with  the  rules  prescribed  by 
the  Board,  which  rules  shall  be  furnished  from  tune  to  time  to  any  hospital,  sani- 
torium, or  special  hospital  applying  therefor. 

SEC.  4.  Every  applicant  for  registration  shall  pay  a  fee  of  five  dollars  ($5.00) 
upon  filing  the  application.  Upon  receiving  a  certificate  of  registration  the  person 
to  whom  it  is  issued  shall  cause  a  copy  thereof  to  be  filed  with  the  county  clerk  of 
the  county  in  which  such  person  resided,  accompanied  with  an  affidavit  of  his  or 
her  identity  as  the  person  to  whom  the  same  was  issued,  and  his  or  her  place  of 
residence  at  the  time  of  examination  and  registration.  The  nurse  shall  be  pre- 
pared whenever  requested  to  show  his  or  her  certificate  of  registration.  The  county 
clerk  shall  charge  fifty  cents  for  registering  such  certificate. 

SEC.  5.  It  shall  be  the  duty  of  the  secretary  of  said  Board  to  file  with  the 
Secretary  of  State  on  or  before  the  first  days  of  the  months  of  January,  April,  July, 
and  October  in  each  year  a  list  of  all  certificates  of  registration  issued  by  said 
Board  during  the  preceding  quarterly  period,  with  the  names  and  residences  of  the 
persons  to  whom  such  certificate  has  been  issued.  The  members  of  said  Board 
shall  each  receive  the  compensation  of  five  dollars  ($5.00)  per  day  for  each  day 
actually  and  necessarily  engaged  in  the  performance  of  the  duties  of  their  office, 
which,  together  with  all  other  legitimate  expenses  incurred  in  the  performance  of 
such  duties,  shall  be  paid  from  fees  received  by  the  Board  under  the  provisions  of 
this  Act,  and  no  part  of  the  expenses  of  said  Board  shall  at  any  time  be  paid  out  of 
the  State  treasury.  All  moneys  in  excess  of  per  diem  allowance  and  other  expenses 
shall  be  held  by  the  secretary  of  said  Board  as  a  special  fund  for  meeting  the  ex- 
penses of  said  Board,  and  such  Board  shall  submit  to  the  Governor  a  report  of  its 
proceedings,  verified  by  the  president  and  secretary  thereof,  on  or  before  the  isth 
day  of  December  of  each  year,  together  with  an  account  of  moneys  received  and 
disbursed  by  them  in  pursuance  of  this  Act.  The  secretary  shall  receive  extra 
compensation  at  the  rate  of  one  hundred  dollars  ($100.00)  per  annum,  payable 
quarterly. 

SEC.  6.  A  trained  nurse  within  the  meaning  of  this  Act  is  one  who  has  a  diploma 
from  a  chartered  training-school,  and  who,  under  the  terms  of  this  Act,  is  entitled 
to  receive  a  certificate  of  registration. 

SEC.  7.  Any  person  who  shall  have  complied  with  the  provisions  of  this  Act 
and  received  a  certificate  of  registration  shall  be  styled  and  known  as  a  registered 
nurse,  and  be  entitled  to  append  the  letters  "R.  N."  to  his  or  her  name.  It  shall 
be  unlawful  for  any  person  who  has  not  complied  with  the  provisions  of  this  Act 
to  hold  himself  or  herself  out  to  the  public  as  a  registered  nurse,  or  to  append  the 
letters  "R.  N."  to  his  or  her  name. 

SEC.  8.  Any  persons  violating  any  of  the  provisions  of  this  Act  shall  be  guilty 
of  a  misdemeanor  and,  upon  conviction,  shall  be  punished  by  a  fine  of  not  less  than 
fifty  or  more  than  two  hundred  dollars,  and  it  shall  be  the  duty  of  the  respective 
prosecutors  of  the  counties  of  this  State  to  prosecute  violations  of  the  provisions  of 
this  Act. 

SEC.  9.  Any  person  who  shall  swear  falsely  in  any  affidavit  or  oral  testimony 
made  or  given  by  virtue  of  the  provisions  of  this  Act  for  the  regulations  of  said 
Board  of  Registration  shall  be  deemed  guilty  of  perjury. 


86  STATE   REGISTRATION   FOR   NURSES 

SEC.  10.  When  any  person  shall  append  the  letters  "R.  N.,"  or  shall  use  any 
other  letter,  figures,  or  sign  to  indicate  that  he  or  she  is  a  registered  nurse,  it  shall 
be  prima  facie  evidence  of  practising  professional  nursing  as  a  registered  or  trained 
nurse  within  the  meaning  of  this  Act. 

SEC.  1 1 .  This  Act  shall  not  apply  to  the  gratuitous  nursing  of  the  sick  by  friends 
or  by  members  of  the  family,  nor  to  any  person  nursing  the  sick  for  hire  who  shall  not 
in  any  way  assume  to  be  a  registered  nurse  or  trained  nurse;  nor  shall  it  be  construed 
to  interfere  in  any  manner  with  religious  communities  having  charge  of  hospitals 
or  caring  for  the  sick  in  their  own  homes. 

SEC.  12.  Said  Board  shall  have  the  power  to  revoke  any  certificate  issued  by 
said  Board  in  accordance  with  the  provisions  of  this  Act  and  for  the  following 
causes:  Gross  incompetency,  violations  of  the  provisions  of  this  Act,  or  anything 
derogatory  to  the  morals  or  standing  of  the  profession  of  nursing  as  may  be  deter- 
mined by  the  Board.  Provided,  that  such  revocation  shall  be  made  only  upon  the 
specific  charges  in  writing  under  oath,  filed  with  the  secretary,  and  by  a  majority 
vote  of  the  whole  Board,  a  certified  copy  of  such  charges  and  thirty  days'  notice  of 
the  hearing  of  the  same  having  been  personally  served  upon  the  holder  of  such  cer- 
tificate. Said  Board  shall  be  authorized  to  furnish  a  list  of  the  names  and  addresses 
of  those  whose  certificates  have  been  revoked  to  the  Board  of  Examiners  of  other 
States  upon  the  written  request  of  such  Board. 

SEC.  13.  This  Act  shall  take  effect  and  be  in  force  from  and  after  its  publica- 
tion in  the  official  State  paper. 

KENTUCKY 

Be  it  Enacted  by  the  General  Assembly  of  the  Commonwealth  of  Kentucky: 

SECTION  i.  That  within  thirty  days  from  the  time  this  Act  becomes  effective 
the  Governor  of  the  State  shall  appoint  a  Board  to  be  known  as  "State  Board  of 
Examiners  of  Trained  Nurses."  Said  Board  shall  be  composed  of  five  members, 
who  shall  be  elected  from  a  list  of  ten  names  proposed  in  writing  by  the  Kentucky 
State  Association  of  Graduate  Nurses.  At  the  time  of  appointment  the  members 
of  the  said  Board  must  be  actual  residents  of  this  State  and  engaged  in  the  work  of 
trained  nurses.  They  shall  have  been  graduated  for  a  period  of  at  least  five  years 
prior  to  their  appointment  from  a  reputable  training-school  for  nurses,  and,  with 
the  exception  of  those  appointed  as  the  first  members  of  said  Board,  shall  have  been 
registered  under  the  provisions  of  this  Act.  The  members  of  said  Board  shall  hold 
their  respective  positions  for  four  years  and  until  their  successors  are  appointed 
and  qualified.  Upon  the  expiration  of  their  terms  of  office,  the  Governor  shall  ap- 
point a  new  Board  of  like  number  and  qualification,  but  in  making  such  appoint- 
ments he  shall  reappoint  at  least  two  of  the  members  first  appointed  by  him,  such 
appointments  to  be  made  upon  similar  recommendations.  The  Governor  shall 
have  a  right  to  remove  any  member  of  said  Board  for  a  continued  neglect  of  duty,  and 
he  shall  have  a  right  to  fill  all  vacancies  occurring  in  said  Board  from  tune  to  time 
in  the  same  manner  as  original  appointments  are  provided  for  herein. 

SEC.  2.  Said  Board  of  Examiners  shall  immediately  after  their  appointment, 
or  as  soon  as  practicable  thereafter,  meet  in  the  city  of  Frankfort  and  organize 
by  the  election  of  one  of  their  number  as  president,  who  shall  also  be  and  act  as 
inspector  of  training-schools  for  nurses  in  this  State,  and  a  secretary,  who  shall  act 
as  treasurer. 

Three  members  shall  constitute  a  quorum  for  the  transaction  of  business,  and 
said  Board  shall  have  the  right  to  enact  such  by-laws  as  may  be  necessary  for  their 
government,  not  in  conflict  with  the  laws  of  this  State. 

SEC.  3.  Said  Board  shall  adopt  a  seal  and  the  secretary  shall  keep  a  record  of 
all  the  proceedings  of  said  Board,  including  a  register  of  the  names  of  all  nurses 
and  training-schools  for  nurses  registered  under  this  Act.  Said  register  shall  at 
all  reasonable  times  be  open  to  public  inspection,  and  said  inspector  shall  inspect 


FULL   TEXT   OF    LAWS  87 

all  training-schools  for  nurses  existing  in  the  State  of  Kentucky  and  shall  register 
such  schools  as  fulfil  the  requirements  of  this  Act.  Said  Board  shall  cause  the 
prosecution  of  all  persons  violating  the  provisions  of  this  Act,  and  may  incur  all 
necessary  expenses  in  so  doing. 

SEC.  4.  The  salary  of  the  secretary  shall  be  fixed  by  the  Board  and  shall 
not  be  less  than  one  hundred  dollars  nor  more  than  five  hundred  dollars 
per  annum.  The  other  members  of  the  Board  shall  receive  five  dollars  per 
day  for  each  day  actually  engaged  in  attendance  upon  the  meetings  of  said  Board, 
and  the  expenses  incurred  in  going  to  and  coming  from  the  place  of  meetings,  and 
inspection  of  training-schools  for  nurses,  and  all  legitimate  and  necessary  expenses 
incurred  in  attending  such  meetings.  All  expenses  of  the  Board,  including  all  sala- 
ries and  compensation,  shall  be  paid  from  the  fee  received  by  said  Board  "by  the 
State  Treasurer  upon  monthly  itemized  statements  of  salaries  and  expenses,  sub- 
mitted to  the  State  Auditor,  out  of  said  fund  exclusively."  A  report  of  all  receipts 
and  expenditures  shall  be  made  to  the  government  on  or  about  December  isth  of 
each  year  after  the  passage  of  this  Act.  All  moneys  and  receipts  of  such  Board  shall 
be  kept  in  a  special  fund  by  and  for  the  use  of  said  Board  exclusively  by  the  Treasurer 
of  the  Commonwealth  of  Kentucky. 

SEC.  5.  It  shall  be  the  duty  of  the  Board  to  meet  for  the  purpose  of  holding  ex- 
aminations not  less  than  once  in  each  year,  at  such  time  and  places  as  they  determine, 
and  the  Board  may  adopt  rules  for  its  government  and  examination  of  applicants 
for  registration  in  accordance  with  the  provisions  of  this  Act.  Notice  of  the  meet- 
ings of  said  Board  shall  be  published  in  two  newspapers  of  general  circulation,  and 
in  at  least  one  journal  devoted  to  the  interest  of  professional  nursing,  and  after 
applications  are  received,  notice  by  mail  to  every  applicant  and  to  every  reputable 
training-school  in  this  State  at  least  thirty  days  prior  to  the  meeting.  At  such 
meeting  it  shall  be  the  duty  of  said  Board  to  examine  all  applicants  for  registration 
under  the  provisions  of  this  Act,  as  are  required  to  be  examined,  and  to  issue  to  each 
duly  qualified  applicant,  who  shall  have  complied  with  the  provisions  of  this  Act  and 
pass  such  examination,  a  certificate  of  registration.  Any  person  to  whom  a  certi- 
fication of  registration  shall  be  issued  shall,  within  thirty  days  thereafter,  cause  the 
same  to  be  recorded  with  the  county  clerk  of  the  county  hi  which  such  person 
resides  at  the  tune  of  application,  and  such  person  shall  be  prepared,  whenever  re- 
quested, to  exhibit  such  certificate  or  a  certified  copy  thereof.  Registered  nurses 
changing  residence  in  this  State  must  present  certificate  of  registration  to  the  county 
clerk  of  the  county  of  their  new  residence  within  thirty  days  of  the  tune  of  establish- 
ing such  new  residence.  All  applicants  for  registration  shall  furnish  satisfactory 
evidence  that  he  or  she  is  at  least  twenty-one  years  of  age,  of  good  moral  character, 
and  has  been  graduated  from  a  school  of  nurses  connected  with  a  special  hospital,  or 
infirmary,  or  general  hospital  approved  by  said  Board,  where  a  systematic  course  of 
at  least  two  years'  instruction  is  given,  except  hi  cases  hereinafter  provided  for,  and 
all  persons  registered  under  the  provisions  of  this  Act  shall  pay  to  the  treasurer  of 
said  Board  a  registration  fee  of  ten  dollars,  which  shall  accompany  the  application. 
"And  shall  annually  thereafter  pay  to  said  treasurer  a  renewal  fee  of  one  dollar, 
all  of  which  shall  be  covered  into  the  State  Treasury." 

SEC.  6.  Before  any  person,  except  those  herein  specifically  excepted,  shall  be 
given  a  certificate  of  registration,  such  person  shall  be  required  to  undergo  an  ex- 
amination of  said  Board  touching  his  or  her  qualifications  as  a  trained  nurse,  and 
shall  pass  the  same  to  the  satisfaction  of  the  majority  of  said  Board.  The  examina- 
tion to  be  given  such  applicants  by  said  Board  shall  be  of  such  character  as  to  de- 
termine the  fitness  of  the  applicant  to  practice  professional  nursing,  and  shall 
include  the  following  subjects,  namely:  Practical  nursing,  surgical  nursing, 
obstetrical  nursing,  hygiene,  contagion,  diet  cooking,  materia  medica,  anatomy, 
physiology,  gynecology,  and  all  other  matters  deemed  necessary  and  proper 
by  said  Board  to  be  required  of  to  establish  the  fitness  and  qualification  of  the 
applicant. 


88  STATE   REGISTRATION   FOR  NURSES 

SEC.  7.  All  graduate  nurses,  who  are  honorably  engaged  in  nursing  at  the  time 
of  the  passage  of  this  Act,  and  have  been  residents  of  the  State  of  Kentucky  for 
six  months  prior  thereto,  and  who  shall  show  to  the  satisfaction  of  the  Board  that 
he  or  she  is  of  good  moral  character  and  was  graduated  from  training-school  con- 
nected with  a  special  hospital  or  infirmary  or  a  general  hospital  of  good  reputation 
at  such  school,  and  who  in  other  respects  meets  the  requirements  of  this  Act,  shall 
be  entitled  to  be  registered  and  given  a  certificate  of  registration  without  examina- 
tion, provided  the  written  application  to  be  so  registered  shall  be  filed  by  such  per- 
sons with  the  secretary  of  the  Board  on  or  before  August  i,  1914,  and  all  persons 
who  have  in  good  faith  been  honorably  engaged  in  the  practice  of  trained  nursing 
under  a  diploma  received  by  them  prior  to  the  year  1893,  after  one  year's  training 
in  a  reputable  school,  shall  in  like  manner  be  entitled  to  a  certificate  of  .registration 
without  examination  upon  the  payment  of  the  registration  fee  of  ten  dollars. 

All  nurses  in  training  at  the  time  of  the  passage  of  the  Act  in  a  reputable  training- 
school  supplying  a  systematic  training,  corresponding  to  the  above  standard,  pro- 
vided they  graduate  therefrom,  shall,  upon  receiving  a  diploma  from  said  school, 
be  entitled  in  like  manner  to  register  without  examination. 

SEC.  8.  Applicants  shall  be  registered  and  given  a  certificate  of  registration 
who  shall  present  a  certificate  of  registration  from  another  State,  territory,  or  foreign 
country,  where  the  requirements  for  registration  shall  be  deemed  by  said  Board  to 
be  equivalent  to  those  provided  for  in  this  act,  such  applicants  paying  the  fee  of 
ten  dollars  for  such  certificate. 

SEC.  9.  It  shall  be  unlawful  for  any  person  to  practice  nursing  as  a  trained 
nurse  without  having  obtained  a  certificate  of  registration  as  herein  provided. 

SEC.  10.  The  said  Board  of  Examiners  may  refuse  to  issue  a  certificate  of  regis- 
tration provided  for  in  this  Act  for  any  of  the  following  causes: 

1.  Presentation  to  the  Board  of  any  license,  certificate,  or  diploma  which  was 
illegally  or  fraudulently  obtained,  or  the  practice  of  fraud  or  deception  in  passing 
examination. 

2.  Where  a  person  has  been  convicted  of  a  crime  or  misdemeanor  where  such 
person  has  been  convicted  of  such  offense. 

3.  Chronic  or  persistent  inebriety  or  addiction  to  a  drug  habit,  which  disqualifies 
the  applicant  to  practice  with  safety  to  the  public. 

4.  Any  act  of  dishonesty,  gross  incompetency,  or  any  act  derogative  to  the 
standing  or  morals  of  the  nursing  profession,  or  any  other  grossly  unprofessional 
or  dishonorable  conduct  of  a  character  likely  to  deceive  or  defraud  the  public,  and 
said  Board  may  revoke  a  certificate  for  any  of  the  causes  for  which  it  may  refuse  to 
grant  a  certificate  under  the  provisions  of  this  Act. 

SEC.  ii.  In  all  proceedings  for  suspension  or  revocation  under  this  Act,  the 
holder  of  a  certificate  shall  be  furnished  with  a  copy  of  the  charges  and  shall  be 
given  at  least  thirty  days  to  prepare  a  defense.  He  or  she  shall  be  heard  by  said 
Board  in  person  or  by  counsel,  as  he  or  she  may  select,  and  at  such  hearing,  and  in  all 
matters  arising  in  the  course  of  their  duties,  the  president  and  secretary  shall  have 
authority  to  administer  the  oath,  and  at  such  hearing  the  Board  may  take  oral  or 
written  proof  for  and  against  the  complainants  as  it  may  deem  will  best  preserve  the 
facts. 

In  case  of  refusal,  suspension,  or  revocation  the  applicant  or  holder  may  appeal 
to  the  Kentucky  State  Association  of  Graduate  Nurses  at  the  first  annual  meeting 
thereafter,  whose  decision  by  a  majority  vote  upon  such  appeal  shall  be  final. 

SEC.  12.  This  Act  shall  not  be  construed  to  interfere  in  any  way  with  religious 
institutions  which  have  charge  of  hospitals,  and  as  such  take  care  of  the  sick  in  their 
home  or  institution,  and  this  Act  shall  not  be  construed  to  affect  or  apply  to  gratui- 
'tous  nursing  of  the  sick  "either  gratuitously  or  for  compensation"  by  a  friend  or 
member  of  the  family  or  to  a  person  nursing  the  sick  who  does  not  in  any  way  assume 
to  be  a  trained  graduate  or  registered  nurse,  or  hold  himself  or  herself  out  as  dis- 
charging the  duties  of  a  trained  graduate  or  registered  nurse. 


FULL   TEXT   OF   LAWS  89 

SEC.  13.  Any  person  who  has  received  a  certificate  according  to  the  provisions 
of  this  Act  shall  be  styled  and  known  as  a  registered  nurse,  and  shall  be  entitled  to 
append  the  letters  "R.  N."  to  his  or  her  name,  and  no  person  shall  assume  or  know- 
ingly permit  any  other  person  to  use  such  person  to  use  such  abbreviation  "R.  N.," 
or  any  other  words  or  figures  after  his  or  her  name,  or  after  the  name  of  any  other 
person  for  the  purpose  of  indicating  that  such  person  is  a  registered  nurse,  unless 
registered  as  required  by  this  Act. 

SEC.  14.  Any  person  who  shall  practice  as  a  trained  nurse,  or  in  any  way  rep- 
resent himself  or  herself  as  a  trained  or  registered  nurse  in  this  State  without  hold- 
ing a  certificate  or  registration  as  herein  provided,  or  who  shall  violate  any  of  the 
provisions  of  this  Act,  shall  be  subject  to  a  fine  of  not  less  than  five  dollars 
nor  more  than  fifteen  dollars,  and  each  day  such  person  shall  practice  or  violate 
any  provision  of  this  act  shall  be  deemed  a  separate  offense. 

SEC.  15.  Any  person  who  shall  wilfully  make  any  false  representations  to 
such  Board  in  applying  for  a  certificate  of  registration  shall  be  guilty  of  a  misde- 
meanor and  upon  conviction  be  fined  not  more  than  five  hundred  dollars. 

SEC.  16.  All  certificates  or  registration  issued  by  said  Board  shall  be  signed  by 
the  president  and  secretary  of  said  Board,  and  have  the  seal  affixed. 

SEC.  17.  Every  person  receiving  a  certificate  from  said  Board  shall  cause  the 
same  to  be  recorded  in  the  office  of  the  county  clerk  of  the  county  in  which  such 
person  resides,  and  shall  pay  to  the  clerk  the  sum  of  fifty  cents  for  recording  the 
same. 

LOUISIANA 

SECTION  i.  Be  it  enacted  by  the  General  Assembly  of  the  State  of  Louisiana, 
That  upon  the  taking  effect  of  this  Act,  the  Louisiana  State  Nurses'  Association 
shall  nominate  for  appointment  as  examiners  ten  registered  physicians,  who  shall 
have  had  not  less  than  five  years'  experience  in  the  practice  of  medicine.  The 
names  of  the  ten  physicians  so  nominated  shall  be  submitted  to  the  Governor  of  the 
State,  who  shall  appoint  from  said  number,  within  sixty  days,  a  Nurses'  Board  of 
Examiners,  to  be  composed  of  five  members.  One  of  the  members  of  this  Board 
shall  be  designated  by  the  Governor  to  hold  office  for  one  year;  one  for  two  years; 
one  for  three  years;  one  for  four  years;  one  for  five  years,  and  thereafter,  upon  the 
expiration  of  the  term  of  office  of  a  person  so  appointed,  the  Governor  shall  appoint 
his  successor,  to  hold  office  for  a  full  term  of  five  years,  from  a  list  of  two  names  sub- 
mitted to  him  annually  by  the  State  Nurses'  Association.  All  vacancies  occurring 
on  the  Board  shall  be  filled  by  the  Governor  in  the  same  manner  from  a  list  of 
names  to  be  furnished  him  by  the  Louisiana  State  Nurses'  Association. 

SEC.  2.  Be  it  further  enacted,  That  the  members  of  the  Nurses'  Board  of 
Examiners  shall,  as  soon  as  organized,  and  annually  thereafter,  elect  from  their 
members  a  president  and  secretary;  the  secretary  shall  also  be  the  treasurer  of  the 
Board. 

Special  meetings  of  the  Board  shall  be  called  by  the  secretary,  upon  the  written 
request  of  any  two  members  to  the  president,  who  shall  order  said  special  meetings 
called.  The  said  Board  of  Examiners  is  authorized  to  frame  such  by-laws  as  may 
be  necessary  to  govern  its  proceedings,  and  adopt  a  seal,  which  shall  be  in  the  cus- 
tody of  the  secretary  of  the  Board.  The  secretary  shall  be  required  to  keep  a 
record  of  all  meetings  of  the  Board,  including  a  register  of  the  names  of  all  the 
nurses  duly  registered  under  this  Act,  in  his  office  at  the  domicile  of  the  Board,  said 
domicile  being  in  the  city  of  New  Orleans;  and  the  Board  shall  prosecute  all  persons 
violating  any  of  the  provisions  of  this  Act,  and  may  incur  the  necessary  expenses  on 
this  behalf.  The  secretary  shall  receive  a  salary  to  be  fixed  by  the  Board,  also 
traveling  and  other  expenses  incurred  in  the  discharge  of  his  official  duties.  Each 
member  of  the  Board  shall  receive  $10.00  for  each  day  actually  engaged  in  this 
service,  and  all  legitimate  and  necessary  expenses  incurred  while  so  engaged. 
Said  expenses  and  salary  shall  be  paid  from  fees  received  by  the  Board  under  pro- 


90  STATE   REGISTRATION   FOR  NURSES 

visions  of  this  Act,  and  no  part  of  salaries  or  other  expenses  of  the  Board  shall  be 
paid  out  of  the  State  Treasury.  All  money  received  in  excess  of  the  said  allowances 
and  other  expenses  provided  for  by  this  Act  shall  be  held  by  the  treasurer  to  pay 
the  expenses  of  printing  the  annual  report  of  the  Board. 

SEC.  3.  Be  it  further  enacted,  That  after  September,  1912,  it  shall  be  the  duty 
of  the  said  Board  of  Examiners  to  meet  twice  in  each  year,  at  its  domicile,  notice 
of  which  meeting  shall  be  published  one  time  hi  each  of  the  daily  newspapers  of 
New  Orleans,  Baton  Rouge,  and  Shreveport,  and  one  time  in  one  nursing  journal, 
published  in  the  United  States,  at  least  one  month  prior  to  the  time  of  such  meeting. 
At  such  meetings  it  shall  be  the  duty  of  the  Board  to  attend  to  such  matters  as  may 
come  before  it  under  the  provisions  of  this  Act,  and  after  July  i,  1915,  it  shall,  at 
such  meetings,  examine  all  applicants  for  registration,  to  determine  their  fitness  and 
ability  to  give  efficient  care  of  the  sick.  Each  applicant  shall  deposit  a  fee  of 
$10.00  upon  the  filing  of  his  or  her  application  for  examination  and  registration. 

SEC.  4.  Be  it  further  enacted,  That  each  applicant  shall  furnish  satisfactory 
evidence  that  he  or  she  is  twenty-one  years  of  age,  is  of  good  moral  character,  has 
received  the  equivalent  of  a  high-school  education,  and  has  graduated  from  a  train- 
ing-school connected  with  a  general  hospital  hi  good  standing,  of  which  standing  the 
Board  shall  be  the  exclusive  judge;  provided,  that  no  hospital  or  sanitarium  giving 
less  than  two  years'  training  to  nurses  shall  be  considered  in  good  standing. 

SEC.  5.  Be  it  further  enacted,  That  all  nurses  possessing  the  above  qualifica- 
tions, and  who  are  in  training  at  the  time  of  the  passage  of  the  Act,  and  who  shall 
graduate  before  July  i,  1915,  hi  the  State  of  Louisiana,  shall  be  permitted  to  register 
without  examination,  upon  the  payment  of  the  registration  fee  of  $10.00; 
provided,  that  all  applications  for  registration  be  made  before  July  i ,  1915.  Nurses 
who  have  graduated  prior  to  the  passage  of  this  Act  from  recognized  training-schools 
in  Louisiana,  and  nurses  who  are  now  practising  in  the  State  of  Louisiana,  who  shall 
show  to  the  satisfaction  of  the  Board  of  Examiners  that  they  are  graduates  of  train- 
ing-schools connected  with  general  hospitals  or  sanitariums  giving  two  years'  train- 
ing, shall  be  required  to  register  before  July  i,  1913;  such  nurses,  upon  payment  of 
the  registration  fee  of  $10.00,  shall  be  entitled  to  registration  without 
examination.  It  shall  be  unlawful,  after  June  30,  1915,  for  any  person  without  a 
certificate  of  registration  to  practice  as,  or  profess  to  be,  a  registered  nurse  hi  this 
State.  Said  Board,  however,  shall  be  authorized  to  waive,  at  its  discretion,  said 
examination,  and  to  issue  certificates  of  registration  hi  favor  of  applicants  who  shall 
present  to  the  Board  certificates  of  examination  from  a  Board  of  Examiners  of  an- 
other State;  provided,  the  standard  of  requirements  of  said  Board  of  Examiners 
of  said  other  State  is  satisfactory  to  the  Board  of  Examiners  created  under  this  Act. 
Any  nurse  who  has  received  his  or  her  certificate  according  to  any  of  the  provisions 
of  this  Act  shall  be  styled  and  known  as  a  "Registered  Nurse."  No  other  person 
shall  assume  such  title  or  use  of  the  abbreviation  "R.  N."  or  any  other  letter  or 
figure  to  indicate  that  he  or  she  is  a  registered  nurse. 

SEC.  6.  Be  it  further  enacted,  etc.,  That  the  certificates  issued  hi  accordance 
with  Section  5  of  this  Act  shall  be  recorded  hi  the  office  of  the  clerk  of  the  District 
Court  of  the  parish  hi  which  he  or  she  resides,  who  shall  make  this  recordation  in  a 
book  to  be  kept  for  that  purpose  only,  and  also  certify  to  such  recordation  by  in- 
dorsement of  the  original  certificate,  which  the  holder  thereof  shall  transmit  or 
deliver  to  the  State  Board  of  Health;  and  the  clerk  recording  same  shall  be  entitled 
to  a  fee  of  $1.00.  Such  certificates  transmitted  or  delivered  to  the  State 
Board  of  Health  shall  entitle  the  holder  to  be  placed  upon  the  list  of  registered 
nurses.  Said  Board  of  Health  shall  preserve  such  certificates,  and  the  copy  thereof, 
signed  by  its  secretary,  shall  be  received  as  evidence  in  the  courts  of  this  State;  and 
for  such  copy  a  fee  of  50  cents  shall  be  paid.  Until  such  recordation  is  made, 
the  holder  of  such  certificate  shall  not  exercise  any  of  the  rights  or  privileges  therein 
conferred  to  registered  nurses. 

SEC.  7.    Be  it  further  enacted,  That  this  Act  shall  not  be  construed  to  affect 


FULL   TEXT   OF   LAWS  QI 

or  apply  to  the  gratuitous  nursing  of  the  sick  by  friends  or  members  of  the  family, 
and  also  it  shall  not  apply  to  any  person  nursing  the  sick  for  hire,  but  who  does  not 
in  any  way  assume  to  be  a  registered  nurse. 

SEC.  8.  Be  it  further  enacted,  That  any  person  violating  any  of  the  provisions 
of  this  Act,  and  who  shall  wilfully  make  any  false  representations  to  the  Nurses' 
Board  of  Examiners  in  applying  for  a  certificate,  shall  be  deemed  guilty  of  a  misde- 
meanor, and,  upon  conviction  thereof,  shall  be  punished  by  a  fine  of  not  less  than 
$50.00  nor  more  than  $100.00  or  by  imprisonment  in  the  parish  jail  for  a  period 
of  not  less  than  ten  or  more  than  ninety  days,  or  by  both  fine  and  imprisonment  for 
each  offense.  It  shall  be  the  duty  of  the  respective  district  attorneys  to  prosecute 
violations  of  the  provisions  of  this  Act  before  any  court  of  competent  jurisdiction. 
The  said  fine  shall  be  divided  equally  between  the  public  school  fund  of  the  parish  in 
which  said  offense  may  have  been  prosecuted  and  the  Nurses'  Board  of  Examiners. 
Said  Nurses'  Board  of  Examiners,  through  their  proper  officers,  may  cause  to  issue, 
in  any  competent  court,  a  writ  of  injunction  forbidding  and  enjoining  said  per- 
son from  further  representing  himself  or  herself  as  a  registered  nurse  in  this  State, 
until  such  person  shall  have  become  duly  registered  as  herein  provided  for  under 
the  provisions  of  this  Act,  and  said  injunction  shall  not  be  subject  to  be  released 
upon  bond. 

In  the  same  suit  in  which  said  injunction  may  be  applied  for,  the  said  Nurses' 
Board  of  Examiners,  through  their  representative  president  aforesaid,  may  sue  for, 
and  demand  of,  the  defendant,  a  penalty  not  to  exceed  $100.00  and  in  addition 
thereto  attorney's  fees  not  to  exceed  $50.00,  besides  the  costs  of  courts;  judgment 
for  which  penalty,  attorney's  fee,  and  costs  may  be  rendered  in  the  same  judg- 
ment in  which  the  injunction  may  be  made  absolute.  That  the  trial  of  said  pro- 
ceedings shall  be  summary  and  be  tried  by  the  judge  without  intervention  of  a  jury. 

SEC.  9.  Be  it  further  enacted,  That  if  any  person  registered  under  this  Act  shall 
be  convicted  of  a  crime  or  be  guilty  of  immoral  conduct,  the  said  Board  shall  have 
the  power  to  institute  proceedings  before  any  competent  court  for  the  purpose  of 
having  the  certificate  granted  by  it  to  such  person  revoked;  and  if  it  shall  be  shown 
that  the  nurse  so  registered  has  been  convicted  of  a  crime  or  be  guilty  of  immoral 
conduct,  the  said  court  shall  revoke  or  suspend  for  such  period  as  the  court  may 
deem  proper  the  registration  certificate  of  such  nurse. 

SEC.  10.  Be  it  further  enacted,  That "  until  July  ist,  1013,  every  nurse  who  shall 
be  a  resident  of  Louisiana  at  the  time  of  the  passage  of  this  Act  and  who  shall  pro- 
duce satisfactory  evidence  as  to  age,  moral  character,  and  common  education  as 
provided  in  this  Act,  who  has  had  one  year's  training  in  a  recognized  school  as  de- 
nned in  this  Act,  and  who  shall  further  show,  by  the  testimony  of  five  reputable 
physicians,  that  he  or  she  has  had  at  least  three  years  of  actual  experience  as  a  trained 
nurse,  shall  be  permitted  to  register  as  a  trained  nurse  upon  passing  a  satisfactory 
examination  before  the  Board  created  by  this  Act,  and  said  Board  shall  make  pro- 
vision for  the  examination  of  such  applicants." 

SEC.  ii.  Be  it  further  enacted,  That  this  Act  shall  take  effect  from  the  date  of 
its  passage. 

SEC.  12.  Be  it  further  enacted,  That  all  laws  or  parts  of  laws  in  conflict  here- 
with be  and  the  same  are  hereby  repealed. 

MARYLAND 

AN   ACT  TO   PROVIDE   FOR   STATE   REGISTRATION   OF   NURSES 

SECTION  i.  Be  it  enacted  by  the  General  Assembly  of  Maryland,  That  upon  the 
taking  effect  of  this  Act,  the  Maryland  State  Association  of  Graduate  Nurses  shall 
nominate  for  examiners  twelve  (12)  of  its  members  who  have  had  not  less  than  five 
years'  experience  in  their  profession.  These  nominations  shall  be  submitted  to  the 
Governor  of  the  State,  who  shall  from  said  number  appoint,  within  sixty  days,  a 


92  STATE   REGISTRATION   FOR   NURSES 

Board  of  Examiners,  to  be  composed  of  five  (5)  members.  One  of  the  members  of 
this  Board  shall  be  designated  by  the  Governor  to  hold  office  one  year,  two  for  two 
years,  and  two  for  three  years;  and  hereafter,  upon  the  expiration  of  the  term  of 
office  of  the  person  or  persons  so  appointed,  the  Governor  shall  appoint  a  successor 
to  each  person  or  persons,  to  hold  office  for  three  years,  from  a  list  of  five  nomina- 
tions submitted  to  him  by  the  Maryland  State  Association  of  Graduate  Nurses  an- 
nually. All  vacancies  occurring  on  this  Board  shall  be  filled  by  the  Governor  in 
the  same  manner  from  the  list  of  nominations  furnished  him,  or  from  a  list  of  five 
to  be  furnished  upon  his  request  for  additional  names. 

SEC.  2.  And  be  it  further  enacted,  That  the  members  of  this  State  Board  of 
Examiners  shall,  as  soon  as  organized,  and  annually  thereafter  in  the  month  of  June, 
elect  from  their  members  a  president  and  a  secretary,  who  shall  be  the  treasurer. 
Three  members  of  this  Board  shall  constitute  a  quorum,  and  special  meetings  of  the 
Board  shall  be  called  by  the  secretary  upon  written  request  of  any  two  members. 
The  said  Board  of  Examiners  is  authorized  to  frame  such  by-laws  as  may  be  neces- 
sary to  govern  its  proceedings.  The  secretary  shall  be  required  to  keep  a  record  of 
all  meetings  of  the  Board,  including  a  register  of  the  names  of  all  nurses  duly  regis- 
tered under  this  Act,  which  shall  at  all  reasonable  times  be  open  to  public  scrutiny, 
and  the  Board  shall  cause  the  prosecution  of  all  persons  violating  any  of  the  pro- 
visions of  this  Act,  and  may  incur  necessary  expenses  on  this  behalf.  The  secretary 
shall  receive  a  salary  to  be  fixed  by  the  Board,  not  to  exceed  one  hundred  ($100.00) 
dollars  per  annum,  also  traveling  and  other  expenses  incurred  in  the  discharge  of 
her  official  duties.  The  other  members  of  the  Board  shall  receive  five  ($5.00)  dollars 
for  each  day  actually  engaged  in  this  service,  and  all  legitimate  and  necessary  expenses. 
Said  expenses  and  salaries  shall  be  paid  from  fees  received  by  the  Board  under 
the  provision  of  this  Act,  and  no  part  of  salaries  or  other  expenses  of  the  Board  shall 
be  paid  out  of  the  State  treasury.  All  money  received  in  excess  of  the  said  allow- 
ance, and  other  expenses  provided  for,  shall  be  held  by  the  treasurer  for  meeting  the 
expenses  of  the  said  Board  and  the  cost  of  annual  reports  of  the  Board. 

SEC.  3.  And  be  it  further  enacted,  That  after  June  i,  1906,  it  shall  be  the  duty 
of  said  Board  of  Examiners  to  meet  not  less  frequently  than  once  in  every  year, 
notice  of  which  meeting  shall  be  given  in  the  public  press  and  in  one  nursing  journal 
one  month  previous  to  the  meeting.  At  this  meeting  it  shall  be  their  duty  to  exam- 
ine all  applicants  for  registration  under  this  Act,  to  determine  their  fitness  and  abil- 
ity to  give  efficient  care  of  the  sick.  Upon  filing  application  for  examination  and 
registration,  each  applicant  shall  deposit  a  fee  of  five  ($5.00)  dollars. 

SEC.  4.  And  be  it  further  enacted,  That  the  applicant  shall  furnish  satisfactory 
evidence  that  he  or  she  is  twenty-three  (23)  years  of  age,  is  of  good  moral  character, 
has  received  the  equivalent  of  a  high-school  education,  and  has  graduated  from  a 
training-school  connected  with  a  general  hospital  where  three  years  of  training 
with  a  systematic  course  of  instruction  is  given  in  the  hospital,  or  has  graduated 
from  a  training-school  in  connection  with  a  hospital  of  good  standing  supplying  a 
systematic  three  years'  training  corresponding  to  the  above  standards,  which 
training  may  be  obtained  in  two  or  more  hospitals. 

SEC.  5.  And  be  it  further  enacted,  That  all  nurses  graduating  before  June  i ,  1906, 
possessing  the  above  qualifications  shall  be  permitted  to  register  without  examination 
upon  payment  of  registration  fee.  Nurses  who  shall  show  to  the  satisfaction  of  the 
Board  of  Examiners  that  they  are  graduates  of  training-schools  connected  with  a 
general  hospital  or  sanitarium  giving  two  years'  training,  or  prior  to  the  year  1897 
having  given  one  year's  training,  and  who  maintain  in  other  respects  proper  stand- 
ards, and  are  engaged  in  professional  nursing  at  the  date  of  the  passage  of  this  Act, 
or  have  been  engaged  in  nursing  five  years  after  graduation,  prior  to  the  passage 
of  this  Act,  also  those  who  are  in  training  at  the  time  of  the  passage  of  this  Act,  and 
shall  graduate  hereafter,  and  possess  the  above  qualifications,  shall  be  entitled  to 
registration  without  examination,  provided  such  application  be  made  before  June  i, 
1906. 


FULL   TEXT   OF   LAWS  93 

Graduates  of  training-schools  in  connection  with  special  hospitals,  giving  a  two 
years'  course,  who  shall  obtain  one  year's  additional  training  in  an  approved  general 
hospital,  shall  be  eligible  for  registration  without  examination  before  June  i,  1906; 
or  said  graduates  shall  be  eligible  for  registration  prior  to  said  date  upon  passing  a 
special  examination  before  the  Board  of  Examiners  in  subjects  not  adequately  taught 
in  the  training-schools  from  which  they  have  been  graduated. 

And  it  shall  be  unlawful  after  the  expiration  of  that  time  for  any  person  to  prac- 
tice professional  nursing  as  a  registered  nurse  without  a  certificate  in  this  State. 
A  nurse  who  has  received  his  or  her  certificate  according  to  the  provisions  of  this 
Act  shall  be  styled  and  known  as  a  "Registered  Nurse."  No  other  person  shall 
assume  such  title  or  use  the  abbreviation  R.  N.,  or  any  other  letter  or  figures  to 
indicate  that  he  or  she  is  a  registered  nurse. 

SEC.  6.  And  be  it  further  enacted,  That  this  Act  shall  not  be  construed  to  affect 
or  apply  to  the  gratuitous  nursing  of  the  sick  by  friends  or  members  of  the  family, 
and  also  it  shall  not  apply  to  any  person  nursing  the  sick  for  hire,  but  does  not  in  any 
way  assume  to  be  a  registered  nurse. 

SEC.  7.  And  be  it  further  enacted,  That  any  person  violating  any  of  the  pro- 
visions of  this  Act,  or  who  shall  wilfully  make  any  false  representation  to  the 
Board  of  Examiners  in  applying  for  a  certificate,  shall  be  guilty  of  a  misdemeanor, 
and  upon  conviction  be  punished  by  a  fine  of  not  more  than  five  hundred  ($500.00) 
dollars.  • 

SEC.  8.  And  be  it  further  enacted, That  the  State  Board  of  Examiners  of  Graduate 
Nurses  may  revoke  any  certificate  for  sufficient  cause,  but  before  this  is  done  the 
holder  of  said  certificate  shall  have  thirty  days'  notice,  and  after  a  full  and  fair 
hearing  of  the  charges  made,  by  a  majority  vote  of  the  whole  Board,  the  certificate 
can  be  revoked. 

SEC.  9.  And  be  it  further  enacted,  That  this  Act  shall  take  effect  from  the  date 
of  its  passage. 

MASSACHUSETTS 

AN    ACT    TO    PROVIDE    FOR    THE    REGISTRATION    OF    NURSES 

Be  it  enacted  by  the  Senate  and  House  of  Representatives  in  General  Court  assembled, 
and  by  the  authority  of  the  same,  as  follows: — 

SECTION  i.  Within  sixty  days  after  the  passage  of  this  Act,  the  Governor,  with 
the  advice  and  consent  of  the  Council,  shall  appoint  a  Board  of  Registration  in  Nurs- 
ing to  be  constituted  as  follows:  three  members  of  said  Board  shall  be  nurses  holding 
diplomas  from  different  training-schools  for  nurses,  giving  at  least  a  two  years' 
course  in  the  theory  and  practice  of  nursing  in  a  hospital,  and  who  shall  have  had 
eight  years'  experience  in  nursing  the  sick;  one  member  shall  be  a  physician  who  is  a 
superintendent  of  a  hospital  having  a  training-school  for  nurses,  and  the  remaining 
member  shall  be  the  secretary  of  the  State  Board  of  Registration  in  Medicine. 
Said  Board  shall  be  appointed  as  follows:  one  member  for  one  year,  one  for  two 
years,  one  for  three  years,  one  for  four  years,  and  one  for  five  years,  from  the  first 
day  of  October,  nineteen  hundred  and  ten,  and  until  their  respective  successors  are 
appointed;  and  thereafter  the  Governor,  with  the  advice  and  consent  of  the  Council, 
shall,  before  the  first  day  of  October  in  each  year,  appoint  in  the  manner  aforesaid 
one  person  qualified  as  aforesaid  to  hold  office  for  five  years  from  the  first  day  of 
October  next  ensuing.  Vacancies  in  said  Board  shall  be  filled  in  accordance  with 
the  provisions  of  this  Act  for  the  appointment  of  the  original  Board,  and  a  person 
appointed  to  fill  a  vacancy  shall  hold  office  during  the  unexpired  term  of  the  member 
whose  place  he  or  she  fills.  Any  member  of  said  Board  may  be  removed  from  office 
for  cause  by  the  Governor,  with  the  advice  and  consent  of  the  Council. 

SEC.  2.  The  members  of  said  Board  shall  meet  at  the  office  of  the  State  Board  of 
Registration  in  Medicine  on  the  second  Tuesday  of  October,  nineteen  hundred 


94  STATE   REGISTRATION   FOR   NURSES 

and  ten,  and  annually  thereafter,  and  shall  immediately  proceed  to  organize  by 
electing  a  chairman  who  shall  hold  office  for  the  term  of  one  year.  The  secretary  of 
the  State  Board  of  Registration  in  Medicine  shall  be  secretary  of  the  Board 
of  Registration  in  Nursing,  and  shall  receive  as  compensation  therefor  such  sums 
as  may  be  determined  by  the  Governor  and  Council,  to  be  paid  from  fees  received 
hereunder.  The  said  Board  shall  hold  four  regular  meetings  in  each  year — one  on  the 
second  Tuesday  of  January,  one  on  the  second  Tuesday  of  April,  one  on  the  second 
Tuesday  of  July,  and  one  on  the  second  Tuesday  of  October,  at  the  office  of  the  State 
Board  of  Registration  in  Medicine,  and  additional  meetings  at  such  times  and 
places  as  it  may  determine. 

SEC.  3.  It  shall  be  the  duty  of  said  Board,  immediately  upon  its  organization, 
to  notify  all  persons  engaged  in  the  practice  of  nursing  the  sick  in  this  Common- 
wealth of  the  times,  places,  and  subjects  of  the  examinations  for  registration,  by 
publication  in  one  or  more  newspapers  in  each  county.  Application  for  registration 
shall  be  made  upon  blanks  to  be  furnished  by  the  Board,  and  shall  be  signed  and 
sworn  to  by  the  applicants.  Each  applicant  for  registration  who  shall  furnish 
satisfactory  proof  that  he  or  she  is  at  least  twenty-one  years  of  age,  and  of  good  moral 
character,  shall,  upon  payment  of  a  fee  of  five  dollars,  be  examined  by  the 
said  Board;  and  upon  such  examination,  if  the  applicant  shall  be  found  qualified,  he 
or  she  shall  be  registered,  with  a  right  to  use  the  title  Registered  Nurse,  and  shall 
receive  a  certificate  thereof  from  the  Board  signed  by  the  chairman  and  secretary. 
An  applicant  who  fails  to  pass  an  examination  satisfactory  to  the  Board,  and  is 
therefore  refused  registration,  shall  be  entitled,  within  one  year  after  such  refusal, 
to  a  re-examination  at  a  meeting  of  the  Board  called  for  the  examination  of  appli- 
cants, without  the  payment  of  an  additional  fee.  Said  Board,  after  hearing,  may, 
by  vote  of  a  majority  of  its  members,  revoke  any  certificate  issued  by  it,  and  cancel 
the  registration  of  any  nurse  who  has  been  guilty  of  any  felony  or  of  any  crime  or 
misdemeanor  in  practice  of  his  or  her  profession.  All  fees  received  by  the  Board 
shall  once  in  each  month  be  paid  by  its  secretary  into  the  treasury  of  the  Common- 
wealth. 

SEC.  4.  Examinations  shall  be  in  part  in  writing  in  the  English  language  and 
in  part  in  practical  work,  and  shall  include  tie  principles  and  methods  of  nursing. 
Due  credit  shall  be  given  for  examinations  in  special  branches. 

SEC.  5.  Any  resident  of  this  Commonwealth  who  shall  make  application  for 
registration  within  one  year  from  the  passage  of  this  Act,  and  who  shall  show  to  the 
satisfaction  of  the  Board,  by  affidavit  or  otherwise,  that  he  or  she  has  actually 
engaged  for  five  years  next  prior  to  the  date  of  application  in  nursing  the  sick  in  a 
competent  manner,  or  to  have  had  such  experience  in  hospital  or  training-school 
as  in  the  opinion  of  the  Board  to  justify  registration,  shall  be  registered  without 
examination  on  the  payment  of  a  fee  of  five  dollars. 

SEC.  6.  The  Board  shall  have  power  to  register  in  like  manner,  without 
examination,  any  person  who  has  been  registered  as  a  professional  nurse  in  another 
State  under  lawstwhich,  in  the  opinion  of  the  Board,  maintain  a  standard  substantially 
similar  to  that  of  this  Act. 

SEC.  7.  Each  member  of  the  Board,  except  the  secretary,  shall  receive  five 
dollars  for  every  day  actually  spent  in  the  performance  of  his  or  her  duties, 
and  the  necessary  traveling  expenses  actually  expended  in  attending  the  meetings 
of  the  Board,  not  exceeding  three  cents  a  mile  each  way.  Such  compensation  and 
the  incidental  and  traveling  expenses  shall  be  approved  by  the  Board  and  paid  by 
the  Commonwealth  only  from  the  fees  paid  over  by  the  Board. 

SEC.  8.  The  Board  shall  investigate  all  complaints  of  the  violations  of  the 
provisions  of  this  Act,  and  report  the  same  to  the  proper  prosecuting  officers. 

SEC.  9.  The  Board  shall  keep  a  record  of  the  names  of  all  persons  registered 
hereunder,  and  of  all  money  received  and  disbursed  by  it,  and  a  duplicate  thereof 
shall  be  open  to  inspection  in  the  office  of  the  Secretary  of  the  Commonwealth. 
Said  Board  shall  annually,  on  or  before  the  first  day  of  January,  make  a  report  to 


FULL   TEXT   OE   LAWS  95 

the  Governor  of  the  condition  of  professional  nursing  in  this  Commonwealth,  of  all 
its  official  acts  during  the  preceding  year,  and  of  its  receipts  and  disbursements. 

SEC.  10.  Whoever,  not  being  lawfully  authorized  to  practice  as  a  registered 
nurse  within  this  Commonwealth,  does  practice  or  does  attempt  to  practice  as  a 
registered  nurse,  or  does  use  the  abbreviation  R.  N.,  or  any  other  words,  letters, 
or  figures  to  indicate  that  the  person  using  the  same  is  such  a  registered  nurse,  shall 
for  each  offense  be  punished  by  a  fine  of  not  more  than  one  hundred  dollars. 
Whoever  becomes  registered,  or  attempts  to  become  registered,  or  whoever  practices 
or  attempts  to  practice,  as  a  registered  nurse  under  a  false  or  assumed  name,  shall 
for  each  offense  be  punished  by  a  fine  of  not  less  than  one  hundred  dollars 
nor  more  than  five  hundred  dollars,  or  by  imprisonment  for  three  months,  or 
by  both  such  fine  and  imprisonment. 

SEC.  1 1 .  The  provisions  of  this  Act  shall  not  be  held  to  apply  to  gratuitous  nurs- 
ing of  the  sick  by  friends,  or  members  of  the  family,  or  to  the  acts  of  any  person 
nursing  the  sick  for  hire  who  does  not  assume  to  be  a  registered  nurse. 

SEC.  12.  The  Board  may  make  such  rules  and  regulations  with  reference  to 
procedure  hereunder  as  they  may  deem  wise;  not,  however,  inconsistent  with  the 
terms  hereof,  or  the  laws  of  the  Commonwealth. 

SEC.  13.  For  the  purpose  of  the  appointment  of  said  Board  and  of  the  regis- 
tration of  persons  by  it  hereunder,  this  Act  shall  take  effect  upon  its  passage,  and 
shall  take  full  effect  on  the  first  day  of  October  hi  the  year  nineteen  hundred  and 
ten. 

MICHIGAN 

The  People  of  the  State  of  Michigan  enact: 

SECTION  i.  The  governor  shall  appoint,  by  and  with  the  advice  of  the  senate, 
four  residents,  either  male  or  female,  three  of  whom  shall  be  graduated  nurses,  and 
one  who  shall  be  a  registered  physician  of  this  state,  who  shall  with  the  secretary  of 
the  state  board  of  health  constitute  a  board  of  registration  of  nurses.  Such 
appointees  shall  be  chosen  from  the  actual  residents  of  this  state  and,  except  the 
registered  physician,  from  nurses  who  have  graduated  from  reputable  training- 
schools,  giving  at  least  a  two  years'  course  of  training,  served  in  hospitals  of  good 
standing,  and  who  have  had  five  years'  experience  in  nursing.  In  the  event  that 
the  appointment  of  a  successor  is  not  made  upon  the  expiration  of  the  term  of  any 
member,  such  member  of  said  Board  shall  hold  office  until  a  successor  is  duly  ap- 
pointed. The  governor  shall  fill  vacancies  occasioned  by  death  or  otherwise  and 
may  remove  any  member  for  the  continued  neglect  of  duties  required  by  this  act. 
Vacancies  in  said  board  shall  be  filled  in  accordance  with  the  provisions  of  this 
act  for  the  establishment  of  the  original  board,  and  persons  appointed  to  fill  vacan- 
cies shall  hold  office  during  the  unexpired  portion  of  the  term  for  which  their  prede- 
cessors were  appointed.  The  four  persons  so  appointed  shall  be  appointed  hi  two 
classes,  as  follows:  Two  shall  be  appointed  to  hold  office  for  three  years  and  two  shall 
be  appointed  to  hold  office  for  six  years,  beginning  with  the  first  day  of  August, 
nineteen  hundred  and  nine,  and  until  their  successors  are  appointed,  and  there- 
after the  governor  shall  appoint  on  or  before  the  first  day  of  August  of  each  third 
year  persons  qualified  as  aforesaid  in  each  class  to  hold  office  for  six  years  from  the 
first  day  of  August  next  ensuing.  Within  the  meaning  of  this  act,  a  state  registered 
nurse  is  defined  as  one  who,  for  hire  or  reward,  nurses,  attends,  and  ministers  to  the 
sick  or  afflicted  under  the  supervision  and  direction  of  a  legally  registered  practi- 
tioner, and  who  has  qualified  for  such  calling  or  profession,  except  as  hereinafter  pro- 
vided in  section  three,  article  four  of  this  act,  through  a  regular  course  of  instruc- 
tion and  practice  hi  a  recognized  training-school  for  nurses  connected  with  a  hospi- 
tal, sanitarium,  or  state  institution  for  the  consumptive,  insane,  or  feeble-minded, 
and  compliance  with  the  further  provisions  of  this  act. 

SEC.  2.  The  members  of  said  board  shall  meet  on  the  first  Wednesday  of 
November,  nineteen  hundred  and  niner  at  Lansing,  and  shall  elect  a  president, 


96  STATE   REGISTRATION   FOR   NURSES 

vice-president,  and  secretary  from  their  own  number,  each  of  whom  shall  hold  his 
or  her  respective  office  for  two  years.  This  board  shall  adopt  rules  and  regu- 
lations not  inconsistent  with  this  act  to  govern  its  proceedings,  and  shall  adopt 
a  seal  of  which  the  secretary  shall  have  the  care  and  custody.  The  secretary  shall 
keep  a  record  of  all  proceedings  of  the  board,  including  a  register  of  the  names  of  all 
nurses  duly  registered  under  this  act,  which  shall  be  open  at  all  reasonable  times 
to  public  scrutiny.  No  less  than  three  members  shall  constitute  a  quorum  of  said 
board  for  the  transaction  of  business.  Said  board  shall  hold  one  regular  meeting 
in  each  year,  and  such  additional  meetings  at  such  times  and  places  as  it  may  de- 
termine. Notices  of  such  meetings  shall  be  published  in  two  newspapers  of  general 
circulation  in  the  state  and  in  one  nursing  journal  at  least  thirty  days  previous  to 
such  meeting.  The  secretary  shall  give  to  the  state  treasurer  a  bond  in  the  penal 
sum  of  one  thousand  dollars,  with  one  or  more  sufficient  sureties  to  be  approved  by 
the  governor  for  the  faithful  discharge  of  his  or  her  duties. 

SEC.  3.  On  and  after  the  first  day  of  December,  nineteen  hundred  and  nine, 
all  men  and  women  engaged  in  the  practice  of  professional  nursing,  and  all  who 
may  wish  to  begin  the  same  in  the  state,  except  as  hereinafter  provided,  shall 
make  application  to  said  board  to  be  registered  and  to  be  furnished  a  certificate 
of  such  registration.  This  registration  and  certificate  shall  be  granted  to  such 
applicants  as  shall  give  satisfactory  proofs  of  being  twenty-one  years  of  age,  of 
good  moral  character,  and  of  having  received  the  equivalent  of  a  grammar  school 
education.  Each  applicant  shall  comply  with  at  least  one  of  the  following  condi- 
tions: 

Without  examination: 

First.  The  applicant  shall  be  registered  and  shall  receive  a  certificate  of  regis- 
tration without  examination,  if  he  or  she  shall  present  a  diploma  issued  before 
December  first,  nineteen  hundred  and  twelve,  by  a  training-school  connected  with 
a  general  hospital,  state  hospital,  sanitarium,  or  special  hospital,  where  a  two 
years'  course  of  training  is  required  with  systematic  instruction  hi  the  hospitals, 
or  from  one  or  more  general  hospitals  of  good  standing,  supplying  a  systematic 
training  corresponding  to  the  above  standard. 

Second.  The  applicant  shall  be  registered  and  given  a  certificate  of  registration 
without  examination,  if  he  or  she  shall  have  a  diploma  from  a  training-school  con- 
nected with  the  general  hospital,  sanitarium,  or  special  hospital  giving  a  two  years' 
training;  or  prior  to  the  year  eighteen  hundred  and  ninety-five,  if  he  or  she  has  re- 
ceived one  year's  training  in  any  of  the  aforesaid  institutions  under  conditions  satis- 
factory to  the  board  and  who  is  engaged  in  professional  nursing  at  the  date  of  the 
passage  of  this  act,  or  has  been  engaged  in  professional  nursing  for  five  years  after 
graduation  prior  to  the  passage  of  this  act;  Provided,  Such  application  shall  be 
made  before  December  first,  nineteen  hundred  and  eleven. 

Third.  The  applicant  shall  be  registered  and  given  a  certificate  of  registration 
after  December  first,  nineteen  hundred  and  ten,  who  shall  present  a  certified  copy 
of  or  certificate  of  registration  or  license  from  another  state  of  the  Union  where  the 
requirements  for  registration  shall  be  deemed  by  said  board  to  be  equivalent  to  those 
of  this  act,  upon  the  payment  of  the  usual  fee  for  certificate. 

With  examination: 

Fourth.  Any  applicant  who  has  pursued  as  a  business  the  vocation  of  nursing 
for  a  period  of  not  less  than  five  years  prior  to  the  passage  of  this  act,  and  who 
presents  to  the  board  a  certificate  stating  that  he  or  she  is  competent  to  give  efficient 
care  to  the  sick  under  the  direction  of  a  competent  physician,  said  certificate  to  be 
signed  by  one  registered  physician  and  two  registered  nurses,  shall  be  entitled  to 
take  such  examination  before  the  board  as  may  be  deemed  necessary  to  determine 
his  or  her  fitness  to  give  efficient  nursing  care  to  the  sick,  such  application  to  be  filed 
within  the  two  years  immediately  following  the  passage  of  this  act. 

Fifth.  After  December  first,  nineteen  hundred  and  twelve,  the  applicant  shall 
be  registered  and  given  a  certificate  of  registration  if  he  or  she  shall  have  a 


FULL   TEXT   OF   LAWS  97 

diploma  from  a  training-school  connected  with  a  hospital  requiring  a  two  years' 
course  of  training  with  systematic  instruction  in  a  general  hospital,  state  hospital, 
sanitarium,  or  special  hospital  in  good  standing,  and  upon  passing  such  an  exami- 
nation before  the  board  at  such  time  and  place  as  it  may  designate  and  in  accord- 
ance with  the  rules  prescribed  by  the  board,  which  rules  shall  be  furnished  from 
time  to  time  to  any  hospital,  sanitarium,  or  special  hospital  applying  therefor. 

SEC.  4.  Every  applicant  for  registration  under  this  act  shall  pay  a  fee  of  ten 
dollars  upon  filing  his  or  her  application.  Upon  the  issuance  of  a  certificate 
of  registration  each  nurse  shall  cause  a  copy  thereof  to  be  filed  with  the  county 
clerk  of  the  county  in  which  said  applicant  resides,  with  an  affidavit  of  his  or  her 
identity  as  the  person  to  whom  the  same  was  issued,  and  his  or  her  place  of  residence 
at  the  time  of  examination  and  registration.  He  or  she  shall  be  prepared,  whenever 
requested,  to  show  his  or  her  certificate  of  registration.  The  county  clerk  shall 
charge  fifty  cents  for  registering  such  license.. 

SEC.  5.  It  shall  be  the  duty  of  the  secretary  of  said  board  to  file  with  the 
secretary  of  state  at  least  quarterly  a  list  of  all  certificates  of  registration  issued  by 
said  board,  with  the  names  and  residences  of  the  persons  to  whom  such  certificates 
have  been  issued. 

SEC.  6.  All  moneys  received  by  said  board  shall  be  paid  to  the  state  treasurer 
quarterly,  and  shall  be  credited  to  the  general  fund  of  the  state,  and  a  receipt  for 
the  same  shall  be  filed  by  the  secretary  of  said  board  in  the  office  of  the  auditor- 
general.  The  incidental  and  the  traveling  expenses  of  said  board  shall  be  paid 
from  such  fund  only.  The  compensation  of  all  members  of  the  board  shall  be  at  the 
rate  of  five  dollars  a  day,  together  with  all  legitimate  expenses,  which  shall  be 
paid  from  the  aforesaid  fund,  for  each  day  actually  engaged  in  attending  meetings 
of  said  board,  and  in  no  case  shall  any  more  be  paid  than  was  actually  expended. 
The  secretary  shall  receive  extra  compensation  at  the  rate  of  one  hundred 
dollars  per  annum,  payable  quarterly.  A  statement  of  the  incidental  and  traveling 
expenses  of  the  members  of  the  board  shall  be  approved  by  said  board  and  sent  to 
the  auditor-general  of  the  state,  who  shall  draw  his  warrant  upon  the  state  treasurer 
for  the  amounts  due  as  in  case  of  other  bills  and  accounts  under  the  provisions  of 
law:  Provided,  That  the  amount  so  paid  shall  not  exceed  the  amount  received  by  the 
state  treasurer  from  said  board  in  fees,  as  herein  specified,  and  as  much  of  said  re- 
ceipts as  may  be  necessary  is  hereby  appropriated  for  the  compensation  and  expenses 
of  said  board  as  aforesaid. 

SEC.  7.  Any  person  who  shall  have  complied  with  the  provisions  of  this  act 
and  received  a  certificate  of  registration  shall  be  styled  and  known  as  a  "Registered 
Nurse,"  and  be  entitled  to  append  the  letters  "R.  N."  to  his  or  her  name. 

SEC.  8.  Any  person  properly  registered  under  the  provisions  of  this  act  shall, 
before  entering  any  service  in  that  capacity,  furnish  a  certificate  of  good  health  from 
a  properly  registered  physician,  showing  that  he  or  she  is  free  from  tuberculosis  or 
any  specific  or  infectious  disease,  said  certificate  to  be  renewed  semi-annually. 
The  Michigan  state  board  of  registration  of  nurses  is  hereby  authorized  to  employ 
or  appoint  a  registered  nurse  who  has  had  not  less  than  five  years'  experience  hi 
nursing  since  graduation,  three  years  of  which  have  been  spent  as  superintendent  of 
a  training-school  approved  by  said  board,  who  may  also  be  one  of  the  members  of 
said  board,  to  act  as  a  visitor  and  inspector  of  training-schools  for  nurses,  to  the  end 
that  the  rules  and  regulations  adopted  by  said  board  may  be  promoted  and  upheld 
throughout  the  state.  Such  visitor  and  inspector  shall  act  under  the  direction  of 
the  Michigan  state  board  of  registration  of  nurses.  The  compensation  of  such 
visitor  and  inspector  shall  be  determined  by  said  board,  and  shall  be  paid  only  from 
funds  collected  in  the  registration  of  nurses  and  in  a  similar  way  in  which  the  inci- 
dental and  traveling  expenses  of  the  members  of  the  board  are  now  paid,  as  pro- 
vided for  in  Section  six  of  said  act. 

SEC.  9.  Any  person  who  shall,  after  the  passage  of  this  act,  practice  professional 
nursing  as  a  registered  nurse  without  first  complying  with  the  provisions  of  this  act 


98  STATE   REGISTRATION  FOR  NURSES 

shall  be  deemed  guilty  of  a  misdemeanor,  and  upon  conviction  thereof  shall  be  pun- 
ished by  a  fine  of  not  more  than  two  hundred  dollars  or  by  imprisonment  in 
the  county  jail  for  a  period  of  not  more  than  ninety  days,  or  by  both  such  fine  and 
imprisonment  for  each  offense. 

SEC.  10.  When  any  person  shall  append  the  letters  "R.  N.,"  or  shall  use  any 
other  letters,  figures,  or  sign  to  indicate  that  he  or  she  is  a  registered  nurse,  it  shall 
be  prima  facie  evidence  of  practicing  professional  nursing  as  a  registered  nurse  within 
the  meaning  of  this  act. 

SEC.  1 1 .  This  act  shall  not  apply  to  the  gratuitous  nursing  of  the  sick  by  friends 
or  by  members  of  the  family,  nor  to  any  person  nursing  the  sick  for  hire,  but  who 
shall  not  in  any  way  assume  to  be  a  registered  nurse.  It  shall  not  be  construed  to 
interfere  in  any  way  with  religious  communities  having  charge  of  hospitals  or  those 
who  care  for  the  sick  in  their  own  homes. 

SEC.  12.  Said  board  shall  have  the  power  to  revoke  any  certificate  issued  by 
said  board  in  accordance  with  the  provisions  of  this  act  and  for  the  following  causes: 
Gross  incompetency,  violations  of  the  provisions  of  this  act,  dishonesty,  habitual 
intemperance,  or  any  act  derogatory  to  the  morals  or  standing  of  the  profession  of 
nursing,  as  may  be  determined  by  the  board:  Provided,  That  such  revocation  shall 
only  be  made  upon  specific  charges  in  writing,  under  oath,  filed  with  the  secretary, 
and  by  a  majority  vote  of  the  whole  board,  a  certified  copy  of  such  charges  and  thirty 
days'  notice  of  the  hearing  of  the  same  having  been  personally  served  upon  the  holder 
of  such  certificate.  Said  board  shall  be  authorized  to  furnish  a  list  of  the  names  and 
addresses  of  those  whose  certificates  have  been  revoked  to  the  board  of  examiners 
of  other  States  upon  the  written  request  of  such  board. 

SEC.  13.  All  acts  or  parts  of  acts  contravening  the  provisions  of  this  act  are 
hereby  repealed. 

MINNESOTA 

Be  it  enacted  by  the  Legislature  of  the  State  of  Minnesota: 

SECTION  i.  It  shall  be  unlawful  for  any  person  to  practice  professional  nursing 
as  a  registered  nurse  in  this  state  unless  such  person  shall  have  first  obtained  a  cer- 
tificate of  registration  as  provided  in  this  Act. 

SEC.  2.  A  Board  of  Examiners,  to  consist  of  five  persons,  one  of  whom  shall 
be  a  regularly  licensed  physician,  is  hereby  created  to  carry  out  the  purposes  and 
enforce  the  provisions  of  this  Act.  Said  Board  shall  be  appointed  by  the  Governor, 
and  the  other  appointments  shall  be  made  from  nurses  engaged  in  active  work, 
who  have  been  graduated  for  at  least  a  period  of  five  years  from  reputable  training- 
schools,  and  whose  course  of  training  is  not  less  than  three  (3)  years'  duration  in 
actual  hospital  service;  provided,  that  there  shall  always  be  two  of  said  members 
on  said  Board  selected  from  nurses  who  have  had  at  least  two  (2)  years'  experience 
in  educational  work  among  nurses,  or  who  have  had  two  (2)  or  more  years'  experi- 
ence in  the  instruction  of  nurses  in  training-schools;  "and  provided  further,  that 
after  the  appointment  of  the  first  Board  the  nurses  appointed  on  each  succeeding 
Board  shall  be  appointed  from  the  nurses  registered  under  this  Act." 

SEC.  3.  Each  member  of  said  Board  shall  serve  for  a  term  of  five  years  and 
until  his  or  her  successors  are  appointed  and  qualified,  except  in  the  case  of  the  first 
Board,  whose  members  shall  hold  office  as  follows:  one  member  shall  be  appointed 
to  hold  office  one  (i)  year;  one  for  two  (2)  years;  one  for  three  (3)  years;  one  for 
four  (4)  years,  and  one  for  five  (5)  years.  Each  member  of  said  Board  shall  give  a 
bond  in  the  sum  of  one  thousand  ($1000.00)  dollars,  with  securities  to  be  approved 
by  the  Secretary  of  State,  conditioned  for  the  faithful  performance  of  his  or  her 
duties,  and  shall  take  the  oath  provided  by  law  for  public  officers.  Vacancies  upon 
said  Board  caused  by  death,  resignation,  or  expiration  of  the  term  of  any  member 
thereof  shall  be  filled  by  appointment  by  the  Governor. 

SEC.  4.     Said  Board  shall  elect  from  its  members  a  President,  a  Secretary,  and  a 


FULL   TEXT   OF   LAWS  99 

Treasurer,  and  shall  have  its  headquarters  at  St.  Paul,  Minnesota;  shall  have  a 
common  seal,  and  the  Secretary  and  President  shall  have  power  to  administer  oaths. 

SEC.  5.  Each  member  of  said  Board  shall  receive  a  compensation  of  five  ($5.00) 
dollars  per  day  for  each  day  of  actual  service  and  ten  (10)  cents  per  mile  for  each 
mile  actually  traveled  in  attending  the  meetings  of  the  Board,  which  compensation 
shall  be  paid  out  of  any  moneys  in  the  hands  of  the  Treasurer  of  said  Board;  pro- 
vided that  said  compensation  and  mileage  shall  in  no  event  be  paid  out  of  the  State 
Treasury. 

SEC.  6.  Any  money  in  the  hands  of  the  treasurer,  at  the  end  of  any  year,  in 
excess  of  two  hundred  and  fifty  ($250.00)  dollars  shall  be  paid  over  by  said  Board 
to  the  State  Treasurer,  to  be  kept  by  him  for  the  future  maintenance  of  the  Board  and 
to  be  disbursed  by  him  upon  warrants  signed  by  the  President  and  Treasurer  of 
said  Board. 

SEC.  7.  Said  Board  shall  hold  public  examinations  at  least  once  in  each  year 
at  St.  Paul,  Minnesota,  and  at  such  times  as  it  may  determine,  and  notice  of  the 
time  and  place  of  such  examinations  shall  be  given  by  a  publication  thereof  at  least 
ten  (10)  days  before  such  examination  in  a  daily  newspaper  published  at  the  Capital 
of  the  State,  and  said  Board  may  give  such  other  notice  as  it  deems  advisable. 
Any  person  desiring  to  obtain  a  certificate  of  registration  under  this  Act  shall  make 
application  to  said  Board  therefor,  and  shall  pay  to  the  treasurer  of  said  Board  an 
examination  fee  of  five  ($5.00)  dollars,  and  shall  present  himself  or  herself  at  the 
next  regular  meeting  of  said  Board  for  examination  of  applicants,  and  upon  said 
Board  being  satisfied  that  the  applicant  is  (i)  of  the  age  of  twenty-one  years  or  over, 
(2)  of  good  moral  character,  (3)  has  received  an  education  equivalent  to  that  re- 
quired for  admission  into  high-schools  of  this  State,  and  (4)  had  graduated  from  a 
training-school  connected  with  a  general  hospital,  where  three  years  of  training,  with 
a  systematic  course  of  instruction  is  given  in  the  hospital,  or  has  graduated  from  a 
training-school  in  connection  with  a  hospital  of  good  standing  supplying  a  system- 
atic three  years'  training  corresponding  to  the  above  standards,  which  training 
may  be  obtained  in  two  or  more  hospitals,  said  Board  shall  proceed  to  examine  said 
applicant  in  both  theoretical  and  practical  nursing,  and  upon  such  applicant  passing 
said  examination  to  the  satisfaction  of  said  Board,  said  Board  shall  enter  said  ap- 
plicant's name  in  the  register,  hereinafter  provided  for,  and  shall  issue  to  said  person 
a  certificate  of  registration  authorizing  said  person  to  practice  the  profession  of 
nursing  as  a  "Registered  Nurse." 

SEC.  8.  All  nurses  graduating  prior  to  January  i,  1910,  possessing  the  above 
qualifications  shall  be  permitted  to  register  without  examination  upon  payment  of 
the  registration  fee.  Nurses  who  shall  show  to  the  satisfaction  of  the  Board  of 
Examiners  that  they  are  graduates  of  training-schools  connected  with  a  general 
hospital  or  sanitarium  giving  two  years'  training,  or  prior  to  the  year  1897  having 
given  one  year's  training,  and  who  maintain  in  other  respects  proper  standards,  and 
are  engaged  in  professional  nursing  at  the  date  of  the  passage  of  this  Act,  or  have 
been  engaged  in  nursing  five  years  after  graduation,  prior  to  the  passage  of  this  Act, 
also  those  who  are  in  training  at  the  time  of  the  passage  of  this  Act,  and  shall  gradu- 
ate hereafter,  and  possess  the  above  qualifications,  shall  be  entitled  to  registration 
without  examination,  provided  such  application  be  made  before  January  i,  1910. 

SEC.  9.  Graduates  of  training-schools  in  connection  with  special  hospitals, 
giving  a  two  years'  course,  who  shall  obtain  one  year's  additional  training  in  an 
approved  general  hospital,  shall  be  eligible  for  registration  without  examination 
before  January  i,  1910,  or  said  graduates  shall  be  eligible  for  registration  prior  to 
said  date  upon  passing  a  special  examination  before  the  Board  of  Examiners  in  sub- 
jects not  adequately  taught  in  the  training-schools  from  which  they  have  been 
graduated. 

SEC.  10.  Any  applicant  who  has  pursued  as  a  business  the  vocation  of  nursing 
for  a  period  of  not  less  than  five  years  prior  to  the  passage  of  this  Act,  and  who 
presents  to  the  Board  a  certificate  testifying  that  he  or  she  is  competent  to  give 


100  STATE   REGISTRATION   FOR   NURSES 

efficient  care  to  the  sick,  said  certificate  to  be  signed  by  one  licensed  physician  and 
two  registered  nurses,  shall  be  entitled  to  take  a  practical  examination  for  state 
registration  only  during  the  two  years  immediately  following  the  passage  of  this 
Act. 

SEC.  n.  The  Board  of  Examiners  may  issue  license  without  examination,  upon 
the  payment  of  five  ($5.00)  dollars  registration  fee,  to  applicants  who  have  been 
registered  in  other  States  having  equal  requirements. 

SEC.  12.  This  Act  shall  not  be  construed  to  apply  to  the  gratuitous  nursing  of 
the  sick  by  friends  or  members  of  the  family,  and  also  it  shall  not  apply  to  any  person 
nursing  the  sick  for  hire  but  who  does  not  in  any  way  assume  to  be  a  registered  nurse. 

SEC.  13.  Said  Board  shall  keep  a  register,  in  which  shall  be  entered  names  of  all 
persons  to  whom  certificates  are  issued  under  this  Act,  and  said  register  shall  at 
all  times  be  open  to  public  inspection. 

SEC.  14.  A  person  who  has  received  his  or  her  certificate  according  to  the  pro- 
visions of  this  Act  shall  be  styled  and  known  as  a  "Registered  Nurse."  No  other 
person  shall  assume  such  title  or  use  the  abbreviation  "R.  N.,"  or  any  other  letters 
or  figures  to  indicate  that  he  or  she  is  a  registered  nurse. 

SEC.  15.  Said  Board  of  Examiners  may  revoke  any  certificate  for  sufficient 
cause,  but  before  this  is  done  the  holder  of  said  certificate  shall  have  thirty  (30) 
days'  notice,  and  after  a  full  and  fair  hearing  of  the  charges  made,  by  a  majority 
vote  of  the  whole  Board,  the  certificate  may  be  revoked. 

SEC.  1 6.  Any  person  violating  any  of  the  provisions  of  this  Act,  or  who  shall 
wilfully  make  any  false  representations  to  the  Board  of  Examiners  in  applying  for  a 
certificate  shall  be  guilty  of  a  misdemeanor,  and  upon  conviction  shall  be  punished 
by  a  fine  of  not  more  than  one  hundred  ($100.00)  dollars  and  not  less  than  ten 
($10.00)  dollars. 

SEC.  17.    This  Act  shall  take  effect  and  be  in  force  from  and  after  its  passage. 

MISSISSIPPI 

An  Act  to  regulate  the  practice  of  professional  nursing  in  the  State  of  Mississippi,  to 
create  a  Board  of  Nurses'  Examiners,  to  require,  the  examination  and  registration 
of  those  desiring  to  practice  in  this  State  as  registered  nurses,  or  licensed  attendants, 
and  to  provide  for  the  punishment  of  offenders  against  this  Act. 
SECTION  i.    Be  it  enacted  by  the  legislature  of  the  State  of  Mississippi,  That  a 
Board  of  Nurses'  Examiners  for  Mississippi  is  hereby  created,  to  consist  of  five 
members  who  shall  be  appointed  by  the  Governor,  four  of  whom  shall  be  graduate 
nurses  and  one  of  whom  shall  be  a  physician. 

SEC.  2.  That  within  thirty  days  after  the  passage  of  this  Act,  the  Graduate 
Nurses'  Association  of  Mississippi  shall,  through  its  executive  committee,  submit 
to  the  Governor  a  list  containing  the  names  of  two  physicians  who  must  be  regularly 
licensed  and  of  good  standing  in  their  profession,  together  with  the  names  of  eight 
graduate  nurses  who  shall  have  practised  not  less  than  two  years  exclusive  of  training, 
and  the  Governor  shall  appoint  the  members  of  the  Board  from  said  list. 

SEC.  3.  That  each  member  of  said  Board  shall  serve  for  a  term  of  five  years  and 
until  his  or  her  successor  is  appointed  and  qualified,  except  in  cases  of  the  first  Board, 
whose  members  shall  hold  office  as  follows:  One  member  shall  be  appointed  to  hold 
office  for  one  year;  one  member  for  two  years;  one  member  for  three  years;  one 
member  for  four  years,  and  one  for  five  years. 

SEC.  4.  That  vacancies  occurring  in  said  Board  by  reason  of  expiration  of  term 
of  office,  resignation,  death,  or  otherwise  shall  be  filled  by  appointment  by  the 
Governor  from  a  list  of  names  of  three  physicians  and  eight  registered  graduate 
nurses,  all  with  qualifications  as  hereinbefore  provided  to  be  furnished  him  by  the 
executive  committee  of  said  association. 

SEC.  5.  That  the  members  of  said  Board  shall,  as  soon  as  organized,  and  an- 
nually thereafter,  in  the  month  of  November  elect  from  their  number,  a  president 


FULL   TEXT   OF   LAWS  IOI 

and  a  secretary,  the  latter  of  whom  shall  also  be  the  tFtfasurer.  Three  members  of 
this  Board  shall  constitute  a  quorum.  Special  meetings  of  said  Board  shall  be 
called  by  the  secretary-treasurer  upon  the  written  request  of  any  two  members. 

SEC.  6.  That  said  Board  is  authorized  to  make  such  by-laws  and  rules  as  shall 
be  necessary  to  govern  its  proceedings  and  to  carry  into  effect  the  purpose  of  this 
Act.  The  secretary-treasurer  shall  be  required  to  keep  a  record  of  all  meetings  of 
said  Board,  including  a  register  of  names  of  all  nurses  duly  registered  under  this 
Act,  which  shall  at  all  reasonable  times  be  opened  to  public  inspection.  Said  Board 
shall  cause  the  prosecution  of  all  persons  violating  any  of  the  provisions  of  this  Act 
and  may  incur  necessary  expenses  in  that  behalf. 

SEC.  7.  That  the  president  and  secretary- treasurer  shall  make  a  biennial  re- 
port to  the  Governor  on  the  first  Monday  in  January  immediately  preceding  the 
convening  of  the  legislature,  together  with  the  statement  of  the  receipts  and  dis- 
bursements of  said  Board. 

SEC.  8.  That  said  Board  shall  adopt  a  seal,  which  shall  include  the  words 
"Nurses  Board  of  Examination  and  Registration  of  Mississippi,"  and  the  imprint 
thereof  shall  be  placed  on  all  certificates  and  warrants  issued  by  it  and  upon  all 
records  sent  up  on  appeal  from  its  decision. 

SEC.  9.  That  it  shall  be  the  duty  of  the-  secretary-treasurer  of  said  Board  to 
file  with  the  Secretary  of  State,  at  least  quarterly,  a  list  of  certificates  of  registration 
issued  by  said  Board,  with  the  names  and  residences  of  the  persons  to  whom  such 
certificates  have  been  issued. 

SEC.  10.  That  each  member  of  said  Board  before  entering  upon  the  discharge 
of  his  or  her  duties  shall  take  the  oath  required  by  law  for  public  officers,  and  the 
president  and  secretary-treasurer  shall  give  a  bond  in  the  sum  of  one  thousand 
($1000.00)  dollars  conditional  for  the  faithful  performance  of  his  or  her  duties. 

SEC.  1 1 .  That  it  shall  be  the  duty  of  the  said  Board  to  meet  on  the  first  Monday 
of  January  and  July  of  each  year.  Notice  of  each  meeting  shall  be  given  to  the 
public  press  and  hi  one  nurses'  journal  one  month  previous  to  the  meeting,  but  said 
Board  may  give  such  other  notice  as  it  may  deem  advisable.  At  said  meeting  it 
shall  be  the  duty  of  the  Board  to  examine  all  applicants  for  registration  under  this 
Act. 

SEC.  12.  That  any  person  desiring  to  obtain  a  certificate  of  registration  under 
this  Act  shall  make  application  to  said  Board  therefor,  first  paying  to  the  treasurer 
an  examination  fee  of  five  ($5.00)  dollars,  and  shall  present  himself  or  herself  at  such 
regular  meeting  of  said  Board  for  examination  of  applicants. 

SEC.  13.  That  said  Board  being  satisfied  that  said  applicant  is  of  the  age  of 
eighteen  years,  of  good  moral  character,  has  received  an  education  equivalent  to  a 
good  common  school  education,  has  graduated  from  a  training-school  in  connection 
with  a  general  hospital  or  sanitarium,  with  two  years  of  continuous  residence  train- 
ing where  a  systematic  course  of  instruction  is  given,  shall  proceed  to  examine  said 
applicant  in  both  theoretical  and  practical  nursing,  anatomy,  physiology,  bacteri- 
ology, materia  medica,  dietetics,  and  hygiene. 

SEC.  14.  That  upon  said  applicant  passing  said  examination  to  the  satisfaction 
of  said  Board,  the  latter  shall  cause  to  be  entered  the  name  of  the  applicant  in  the 
register  for  that  purpose.  It  shall  also  be  caused  to  issue  to  said  persons  a  certifi- 
cate of  registration  authorizing  said  person  to  practice  the  profession  of  nursing  as  a 
registered  nurse.  Nurses  who  are  not  graduates  as  herein  provided,  who  have  been 
practicing  nursing  before  this  Act  takes  effect,  may  apply,  first  paying  an  examina- 
tion fee  of  two  dollars  ($2.50)  fifty  cents  to  the  State  Board  for  an  examination,  and 
if  the  Board  finds  thereupon  the  applicant  competent  to  practice  nursing,  said  Board 
may  issue  to  the  said  applicant  a  certificate  authorizing  him  or  her  to  practice  as  a 
licensed  attendant,  but  not  as  a  registered  nurse.  A  nurse  registered  and  licensed 
according  to  the  laws  of  the  State  of  her  residence  may  practice  her  profession  in  this 
State  in  special  cases  without  being  registered  as  herein  provided.  All  the  provisions 
of  this  Act  not  inconsistent  with  this  section  shall  apply  to  licensed  attendants. 


102  STATE   REGISTRATION   FOR  NURSES 

SEC.  15.  That  fees  received  by  said  Board  of  Examiners  herein  specified  from 
examinations  and  otherwise  shall  be  paid  to  the  State  Treasurer,  and  shall  be  kept 
in  a  fund  to  be  known  as  the  "Nurses'  Fund,"  and  shall  be  subject  at  all  times  to  the 
warrant  of  the  State  Auditor  drawn  upon  written  requisition  of  the  president  of  said 
Board  and  attested  by  the  secretary-treasurer  of  said  Board  for  the  payment  of  any 
authorized  expense  made  by  said  Board,  but  in  no  event  shall  said  Board  expend  a 
sum  in  excess  of  the  amount  received  by  the  State  Treasurer  from  said  Board.  No 
requisition  shall  be  made  by  said  president  and  secretary-treasurer  until  the  item 
or  items  for  which  same  is  drawn  shall  have  been  first  approved  by  said  Board. 

SEC.  1 6.  That  each  member  of  said  Board  shall  receive  five  ($5.00)  dollars  for 
each  day  or  part  of  day  while  actually  engaged  in  the  performance  of  the  duties  of 
the  office,  together  with  traveling  and  all  other  legitimate  and  necessary  expenses 
incurred  while  so  engaged. 

SEC.  17.  That  all  printing,  postage,  and  other  contingent  expenses  necessarily 
incurred  under  the  provisions  of  this  Act  shall  be  paid  from  the  said  nurses'  fund,  aU 
subject,  however,  to  the  provisions  of  Section  15  of  this  Act. 

SEC.  1 8.  That  the  headquarters  of  said  Board  shall  be  in  the  State  Capitol  in  a 
room  to  be  assigned  for  its  use  by  the  keeper  of  said  Capitol. 

SEC.  19.  That  the  meetings  of  said  Board  for  the  purpose  of  examining  appli- 
cants shall  be  held  in  the  city  of  Jackson  or  in  any  other  convenient  place. 

SEC.  20.  That  all  persons  possessing  the  qualifications  enumerated  in  Section 
13  of  this  Act,  and  who  are  nurses  in  training  at  the  time  of  the  passage  of  this  Act, 
and  who  shall  graduate  on  or  before  two  years  in  the  State  of  Mississippi,  shall  be 
permitted  to  register  without  examination  upon  the  payment  of  the  registration  fee 
of  five  ($5.00)  dollars,  provided  that  all  applications  for  the  registration  shall  be 
made  before  the  expiration  of  said  two  years. 

SEC.  21.  That  nurses  who  have  graduated  prior  to  the  passage  of  this  Act 
from  recognized  training-schools  in  Mississippi,  and  nurses  who  are  not  practicing 
in  the  State  of  Mississippi,  who  shall  show  to  the  satisfaction  of  the  Board  of 
Examiners  that  they  are  graduates  of  training-schools  connected  with  general 
hospitals  or  sanitariums  giving  two  years'  training  shall  be  required  to  register  with- 
in one  year  from  the  passage  of  this  Act.  And  such  nurses  upon  payment  of  the 
registration  fee  of  five  ($5.0x3)  dollars  shall  be  entitled  to  registration  without  exami- 
nation. 

SEC.  22.  That  said  Board  shall  be  authorized  to  waive,  at  its  discretion,  said 
examination,  and  to  issue  certificates  of  registration  in  favor  of  applicants  who  shall 
present  to  the  Board  certificates  of  examination  from  the  Board  of  Examiners 
from  another  State,  together  with  the  registration  fee  of  five  ($5.00)  dollars,  provided 
the  standard  of  requirements  from  such  other  State  are  equivalent  to  the  require- 
ments set  forth  in  this  Act. 

SEC.  23.  That  any  nurse  who  has  received  his  or  her  certificate  according  to 
any  of  the  provisions  of  this  Act  shall  be  styled  and  known  as  a  "Registered  Nurse." 
No  other  person  shall  assume  such  title  or  use  the  abbreviation  "R.  N.,"  or  any 
letter  or  figure  to  indicate  that  he  or  she  is  a  registered,  trained,  or  graduate  nurse. 

Sec.  24.  That  it  shall  be  unlawful  for  any  person  to  practice  the  profession  of 
nursing  as  a  registered  nurse  in  the  State  within  the'  meaning  of  this  Act,  unless 
such  person  shall  at  first  have  obtained  a  certificate  of  registration  as  provided  in 
this  Act.  But  this  Act  shall  not  be  construed  to  apply  to  the  gratuitous  nursing 
of  the  sick  by  friends  or  members  of  the  family,  and  also  it  shall  not  apply  to  any 
persons  nursing  the  sick  for  hire,  but  who  do  not  hi  any  way  assume  to  be  registered 
graduate  nurses. 

SEC.  25.  That  the  Board  of  Examiners  shall  have  power  to  revoke  any  certif- 
icate of  registration  for  incompetency,  dishonesty,  intemperance,  immorality,  or 
unprofessional  conduct  after  a  full  and  fair  investigation  of  the  charges  preferred 
against  the  accused.  Thirty  days  prior  to  such  a  hearing  a  copy  of  the  charges, 
which  charges  must  be  specified  in  writing  and  under  oath,  shall  be  furnished  to  the 


FULL   TEXT   OF   LAWS  103 

accused,  who  shall,  at  the  same  time,  be  furnished  with  written  notice  of  the  time  and 
place  where  such  charges  will  be  heard  and  determined.  The  place  of  such  hearing 
may  be  fixed  by  said  Board  at  any  point  within  the  State.  At  such  hearing  all 
witnesses  shall  be  sworn  either  by  the  president  or  secretary-treasurer,  and  the 
accused  shall  be  entitled  to  be  heard  and  represented  by  counsel.  No  revocation 
shall  be  made  except  upon  a  majority  vote  of  the  full  Board.  Upon  the  revocation 
of  any  certificate  the  same  shall  be  null  and  void.  The  holder  thereof  shall  cease 
to  be  entitled  to  any  of  the  privileges  conferred  by  such  certificate,  and  it  shall  be 
the  duty  of  the  secretary-treasurer  of  the  Board  to  strike  the  name  of  the  holder 
thereof  from  the  roll  of  registered  nurses  and  to  give  notice  of  such  revocation  to  the 
Secretary  of  State. 

SEC.  26.  That  any  person  violating  any  of  the  provisions  of  this  Act,  or  who 
shall  wilfully  make  any  false  representations  to  said  Board  of  Examiners  in  applying 
for  a  certificate,  or  who  shall  refuse  to  surrender  a  certificate  of  registration  which 
has  been  revoked  as  set  out  in  this  Act,  or  shall  use  the  title  of  registered  nurse,  or 
append  the  letters  "R.  N. "  or  any  other  letters,  words,  or  figures  to  indicate  that  the 
person  using  the  name  is  a  registered  or  graduate  nurse,  unless  such  person  shall  be 
lawfully  entitled  so  to  do,  shall  be  deemed  guilty  of  a  misdemeanor,  and  upon  convic- 
tion thereof  shall  be  punished  by  a  fine  of  not  less  than  twenty-five  ($25.00)  dollars 
and  not  more  than  one  hundred  ($100.00)  dollars,  or  by  imprisonment  in  the  county 
jail  for  a  period  of  not  less  than  five  days  and  not  more  than  ninety  days  or  by  both 
such  fine  and  imprisonment. 

SEC.  27.  That  all  laws  or  parts  of  laws  in  conflict  herewith  be  and  the  same  are 
hereby  repealed. 

SEC.  28.  That  this  Act  shall  take  effect  and  be  in  force  from  and  after  its  pas- 
sage. 

MISSOURI 

AN  ACT 

Entitled  '  'An  act  to  provide  for  the  examination,  regulation,  and  registration  of 
nurses,  and  providing  for  the  appointment  of  a  board  of  examiners  to  examine 
applicants  for  registration  as  nurses,  and  to  provide  for  the  punishment  of  offend- 
ers against  this  act." 
Be  it  enacted  by  the  General  Assembly  of  the  State  of  Missouri,  as  follows: 

SECTION  i.  Upon  the  taking  effect  of  this  act,  the  governor  shall  appoint  a 
board  of  examination  and  registration  of  nurses  to  consist  of  five  members. 
The  majority  of  such  appointees  shall  be  chosen  from  those  actually  engaged  in 
nursing  and  who  have  graduated  from  reputable  training-schools,  giving  not  less 
than  two  years'  course  of  training,  who  have  had  at  least  five  years'  experience  in 
nursing  and  caring  for  the  sick  and  afflicted,  including  one  year's  teaching  in  a  train- 
ing-school for  nurses.  The  members  of  the  board  herein  created  shall  be  appointed 
as  follows:  One  shall  be  appointed  to  hold  office  for  one  year,  two  for  two  years,  and 
two  for  three  years,  beginning  on  the  first  day  of  December,  the  present  year,  and 
until  their  successors  are  appointed,  and  thereafter  the  governor  shall  appoint,  on  or 
before  the  first  day  of  November  of  each  year,  persons  qualified  as  aforesaid  in  each 
class,  to  hold  office  for  three  years,  from  the  first  day  of  December  next  ensuing. 
Each  member  of  said  board  shall  hold  office  until  a  successor  is  duly  appointed. 
Vacancies  upon  said  board  caused  by  death,  resignation,  or  expiration  from  any 
cause,  of  the  term  of  any  member  thereof,  shall  be  filled  by  appointment  from  the 
same  class  of  persons  to  which  the  deceased  or  retiring  member  belonged,  and  a 
person  appointed  to  fill  a  vacancy  shall  hold  office  during  the  unexpired  term  of  the 
member  whose  office  is  thus  filled.  The  governor  may  remove  any  member  of  the 
board  for  cause,  or  the  continued  neglect  of  duties  required  by  this  act.  The 
members  of  said  board  shall,  before  entering  on  the  discharge  of  their  duties,  make 
and  file  with  the  secretary  of  state  the  constitutional  oath  of  office,  and  it  shall 


104  STATE   REGISTRATION   FOR   NURSES 

have  power  to  hear  testimony  in  all  matters  relating  to  the  duties  imposed  upon  it 
by  law.  The  members  of  said  board  shall  meet  on  the  second  Wednesday  of  Decem- 
ber, nineteen  hundred  nine,  at  Jefferson  City,  and  shall  elect  a  president  and  a 
secretary,  who  shall  also  act  as  treasurer,  from  their  number,  each  of  whom  shall 
hold  his  or  her  respective  office  for  one  year,  and  the  president  shall  have  power 
to  administer  oaths.  The  board  shall  make  rules  and  regulations,  not  inconsistent 
with  this  act  and  the  general  law,  to  govern  its  proceedings,  and  also  adopt  its  seal, 
and  the  secretary  shall  have  the  care  and  custody  thereof;  and  the  secretary  shall 
keep  a  record  of  all  proceedings  of  the  board,  including  a  register  of  the  names  of  all 
nurses  registered  under  this  act,  which  shall  be  open  at  all  reasonable  times  to 
public  inspection.  The  treasurer,  before  entering  upon  the  discharge  of  his  or  her 
duties,  shall  give  bond  in  the  sum  of  one  thousand  ($1000.00)  dollars,  with  a  sur- 
ety or  sureties,  to  be  approved  by  the  board.  Said  board  shall  hold  one  regular 
meeting  in  each  year,  and  such  additional  meetings  at  such  time  and  places  as  it 
may  determine.  Notice  of  such  meetings  shall  be  published  in  two  newspapers  of 
general  circulation  through  the  state  and  in  one  nurses'  journal  at  least  thirty  days 
previous  to  such  meeting.  A  majority  of  the  board  shall  constitute  a  quorum  for 
the  transaction  of  business.  Said  board  shall  make  an  annual  report  of  its  pro- 
ceedings to  the  governor,  on  or  before  the  thirty-first  day  of  December  of  each 
year. 

SEC.  2.  Every  applicant  for  registration  as  a  registered  nurse  must  be  at  least 
twenty-one  years  of  age,  of  good  moral  character,  and  a  resident  or  graduate  nurse 
of  this  state,  except  as  hereinafter  provided.  Every  applicant,  in  addition  to  fur- 
nishing satisfactory  proof  of  his  or  her  compliance  with  the  above  qualifications, 
must  also  have  acquired  a  general  education  substantially  equivalent  to  that  ob- 
tained by  the  completion  of  a  common  or  grammar  school  course  of  study. 

SEC.  3.  On  and  after  the  first  Wednesday  of  December,  nineteen  hundred 
nine,  all  persons  engaged  in  the  practice  of  professional  nursing,  and  all  who  may 
wish  to  begin  the  same  in  this  state  as  a  registered  nurse  under  the  provisions  of 
this  law,  except  as  hereinafter  provided,  shall  make  application  to  said  board  to  be 
registered  to  practice  professional  nursing  and  caring  for  the  sick  and  afflicted.  This 
registration  shall  be  granted  to  such  applicants  who  possess  the  qualifications  re- 
quired by  Section  2  of  this  article,  and  who  shall  comply  with  at  least  one  of  the 
following  conditions:  ist:  Any  applicant  shall  be  registered  to  practice  nursing 
without  examination  who  shall  present  a  diploma  issued  before  December  first, 
nineteen  hundred  twelve,  by  a  training-school  connected  with  a  general  hospital, 
where  two  or  more  years'  course  of  training  is  required  with  systematic  instruc- 
tion in  the  hospital  or  from  one  or  more  general  hospitals  of  good  standing  sup- 
plying a  systematic  training  corresponding  to  the  above  standard;  2nd:  Any 
applicant  shall  be  registered  to  practice  nursing  without  examination  who,  prior 
to  eighteen  hundred  ninety-five,  received  one  year's  training  in  a  general  hospital, 
sanitarium,  or  special  hospital  under  conditions  satisfactory  to  the  board  of  examina- 
tion and  registration  of  nurses,  and  who  is  actually  engaged  in  professional  nursing  at 
the  date  of  the  passage  of  this  act,  or  who  has  been  engaged  in  professional  nurs- 
ing for  five  years  prior  to  the  passage  of  this  act:  Provided,  such  application  shall  be 
made  under  oath  before  December  thirty-first,  nineteen  hundred  eleven;  3rd:  After 
nineteen  hundred  twelve  the  applicant  shall  be  registered  to  practice  nursing  if  he 
or  she  shall  have  a  diploma  from  a  training-school  connected  with  a  hospital  requir- 
ing a  course  of  two  or  more  years  of  training  with  systematic  instructions  in  a  gen- 
eral hospital,  sanitarium,  or  special  hospital,  or  from  one  or  more  hospitals  in  good 
standing  supplying  a  systematic  training  equivalent  to  the  foregoing,  and  upon 
passing  such  an  examination  before  the  board  as  may  be  deemed  necessary  to  deter- 
mine his  or  her  fitness  and  ability  to  give  efficient  care  of  the  sick;  4th:  Any  appli- 
cant shall  be  registered  to  practice  nursing  who  shall  present  a  certified  copy  or 
certificate  of  registration  from  another  state  of  the  Union  where  the  requirements  for 
the  registration  shall  be  deemed  by  said  board  to  be  equivalent  to  those  of  this  act. 


FULL   TEXT   OF   LAWS  105 

SEC.  4.  Every  applicant  for  registration  under  this  act  shall  pay  a  fee  of  five 
($5.00)  dollars  upon  filing  his  or  her  application.  Upon  the  issuance  of  a  certificate 
to  practice  nursing,  each  nurse,  if  a  resident  of  this  state,  shall  cause  a  copy  thereof 
to  be  filed  with  the  county  clerk  of  the  county  in  which  said  applicant  resides,  and, 
if  in  the  city  of  St.  Louis,  with  the  recorder  of  deeds,  with  an  affidavit  of  his  or  her 
identity  as  the  person  to  whom  the  same  was  issued  and  his  or  her  place  of  residence 
at  the  tune  of  examination  and  registration.  If  the  applicant  be  a  non-resident  of 
this  state,  then  such  certificate  and  affidavit  shall  be  filed  with  the  county  clerk  of 
the  county  in  which  is  located  the  training-school  which  issued  his  or  her  diploma, 
and  with  the  recorder  of  deeds  of  the  city  of  St.  Louis  if  such  training-school  is  hi 
the  city  of  St.  Louis. 

SEC.  5.  It  shall  be  the  duty  of  the  secretary  of  said  board  to  file  with  the 
secretary  of  state,  at  least  once  each  year,  a  list  of  all  certificates  issued  by  said 
Board,  with  the  names  and  residences  of  the  persons  to  whom  such  certificates  have 
been  issued. 

SEC.  6.  All  fees  received  by  the  state  board  for  the  examination  and  registra- 
tion of  nurses  shall  be  paid  to  the  treasurer  of  the  board,  who  shall  issue  receipts 
therefor,  and  shall  be  paid  by  said  treasurer  quarterly  into  the  state  treasury,  and 
shall  be  credited  to  a  fund  which  is  hereby  appropriated  for  the  use  of  said  state 
board  for  the  examination  and  registration  of  nurses.  The  compensation  of  the 
members  of  said  board  shall  be  at  the  rate  of  five  ($5.00)  dollars  for  each  day  actually 
engaged  in  attending  meetings  of  said  board.  The  secretary  may  receive  extra 
compensation  according  to  services  rendered,  the  sum,  however,  not  to  exceed 
three  hundred  ($300.00)  dollars  a  year.  Such  compensation  and  expenses  of  mem- 
bers and  officers  of  said  board,  and  all  expenses  proper  and  necessary  in  the  opinion 
of  said  Board  to  the  discharge  of  its  duties  under  and  to  enforce  this  act,  shall  be 
paid  out  of  such  fund,  upon  the  warrant  of  the  auditor  of  the  state  issued  upon  a 
requisition,  signed  by  the  president  and  attested  by  the  secretary  of  said  board  under 
the  seal  of  said  board;  Provided,  that  no  expense  of  this  board  shall  ever  be  paid 
out  of  any  other  fund  of  the  state  either  by  deficiency  bill  or  otherwise. 

SEC.  7.  Any  person  who  shall  have  complied  with  the  provisions  of  this  act 
and  received  a  certificate  to  practice  nursing  shall  be  styled  and  known  as  a  "regis- 
tered nurse,"  and  be  entitled  to  append  the  letters  "R.  N."  to  his  or  her  name. 

SEC.  8.  Any  person  who  shall  practice  professional  nursing  as  a  registered 
nurse  without  first  complying  with  the  provisions  of  this  act  shall  be  deemed 
guilty  of  a  misdemeanor,  and,  upon  conviction  thereof,  shall  be  punished  by  a  fine 
of  not  less  than  fifty  ($50.00)  dollars  nor  more  than  five  hundred  ($500.00)  dollars 
for  each  offense,  and  the  board  shall  proceed  against  all  such  persons.  Prosecu- 
tions under  this  act  shall  be  begun  and  carried  on  in  the  same  manner  as  other 
prosecutions  for  misdemeanor  in  this  state. 

SEC.  9.  When  any  person  shall  append  the  letters  "R.  N.,"  or  shall  use  any 
other  letters,  figures,  or  signs  to  indicate  that  he  or  she  is  a  registered  nurse,  it  shall 
be  prima facie  evidence  of  practicing  professional  nursing  as  a  registered  nurse  within 
the  meaning  of  this  act. 

SEC.  10.  This  act  shall  not  apply  to  the  gratuitous  nursing  of  the  sick  by  friends 
or  by  members  of  the  family,  nor  by  any  person  nursing  for  hire,  but  who  shall  not 
in  any  way  assume  to  be  a  registered  nurse. 

SEC.  ii.  Said  board  shall  have  the  power  to  revoke  for  sufficient  cause  any 
certificate  issued  by  said  board;  provided,  that  such  revocation  shall  only  be  made 
upon  specificjcharges,  made  in  writing  and  under  oath,  and  filed  with  the  secretary, 
and  by  a  majority  vote  of  the  whole  board,  a  certified  copy  of  such  charges  and 
thirty  days'  notice  of  the  hearing  of  the  same  having  been  personally  served  upon 
the  holder  of  such  certificate.  Said  board  shall  be  authorized  to  furnish  a  list  of 
the  names  and  addresses  to  those  whose  certificates  have  been  revoked  to  the  board 
of  examiners  of  other  states  upon  the  written  request  of  such  board. 


106  STATE   REGISTRATION   FOR   NURSES 

MONTANA 

Be  it  enacted  by  the  Legislative  Assembly  of  the  State  of  Montana: 

Certificates  Issued 

SECTION  i.  The  Governor  of  the  State  of  Montana  shall  have  the  power,  and 
it  shall  be  his  duty,  to  issue  a  license  or  certificate  for  registration  to  any  person 
practicing  the  profession  of  nursing  the  sick,  upon  the  recommendation  of  the  Board 
of  Examiners  of  Nursing,  said  Board  to  be  appointed  as  hereinafter  provided  for. 

Appointment  of  Board 

SEC.  2.  The  Governor  of  the  State  of  Montana  shall,  within  ninety  days  after 
the  passage  and  approval  of  this  Act,  designate  and  appoint  five  persons  who  shall 
constitute  the  Board  of  examination  for  nurses.  Said  Board  shall  consist  of  five 
members,  and  shall  be  appointed  by  the  Governor  from  the  membership  of  the 
Montana  State  Association  of  Graduated  Nurses;  the  first  Board  shall  hold  office 
during  the  following  terms:  One  member  for  the  period  of  one  year;  two  members 
for  the  period  of  two  years;  two  members  for  the  period  of  three  years,  and  the 
members  and  the  terms  thereof  to  be  designated  by  the  Governor. 

Requirements  of  Board  Members 

SEC.  3.  Subsequent  to  the  organization  of  State  Board  of  Examination  of 
Nurses,  the  Governor  of  the  State  of  Montana  shall  fill  all  vacancies  and  shall  per- 
petuate said  Board  by  the  appointment  of  members  thereof,  which  members  for 
appointment  shall  be  selected  from  persons  who  are  registered  nurses  under  the 
provisions  of  this  Act,  and  who  shall  be  actual  residents  of  the  State  of  Montana 
for  a  period  of  at  least  one  year  immediately  preceding  the  date  of  appointment,  and 
who  have  been  actively  engaged  in  the  profession  of  nursing  for  five  years  prior  to 
such  appointment,  and  there  shall  be  at  all  times  at  least  two  members  of  said  Board 
who  shall  have  had  at  least  two  years'  experience  in  educational  work  among 
nurses,  or  who  have  had  two  or  more  years'  experience  in  the  instruction  of  nurses  in 
training-schools. 

The  terms  for  which  said  members  shall  be  appointed  shall  be  for  three  years, 
except  those  first  appointed  and  those  to  fill  unexpired  terms. 

Officers,  Duties,  and  Remuneration  of  Board 

SEC.  4.  The  members  of  the  Board  shall,  immediately  after  their  appointment, 
meet  at  the  city  of  Helena  for  the  purpose  of  organizing  said  Board,  and  shall  elect 
one  of  their  number  president,  and  shall  also  elect  one  of  their  number  secretary,  who 
shall  also  act  as  treasurer  of  the  Board.  The  Board  shall  adopt  a  seal,  which  shall 
remain  in  the  custody  of  the  secretary;  the  secretary  shall  keep  the  records  and 
minutes  of  all  meetings  of  the  Board,  and  shall  record  in  a  suitable  book  the  names 
of  all  nurses  and  training-schools  registered  under  this  Act.  The  president  and 
secretary  of  said  Board  shall  hold  office  for  the  period  of  one  year,  and  until  their 
successors  are  appointed  and  qualified.  The  salary  of  the  secretary  shall  be  settled 
and  fixed  by  the  Board.  The  other  members  of  the  Board  shall  receive  ten  ($10.00) 
dollars  per  day  while  actually  engaged  in  attendance  upon  meetings  of  said  Board. 
This  shall  be  in  full  for  their  expenses,  same  to  be  paid  from  the  funds  in  the  hands 
of  the  treasurer  of  the  Board;  no  charge  or  expense  of  any  kind  shall  ever  become  a 
charge  against  the  State  treasury. 

The  president  shall  act  as  inspector  of  training-schools  for  nurses. 


FULL   TEXT   OF   LAWS  107 

Board  Provides  Schedule  for  Examination 

SEC.  5.  Said  Board  shall  provide  a  schedule  of  the  subjects  upon  which  appli- 
cants shall  be  examined  to  qualify  for  registration  under  this  Act,  which  subjects 
shall  include  elementary  anatomy,  physiology,  medicine,  obstetrics,  gynecology, 
surgery,  dietetics,  home  sanitation,  and  nursing. 

Inspecting  and  Registering  of  Training-schools 

SEC.  6.  The  president  acting  as  inspector  of  training-schools  shall  inspect  all 
training-schools  for  nurses  in  the  State  of  Montana,  and  shall  report  to  the  Board  and 
the  Governor  such  training-schools  as  shall  provide  courses  of  instruction  in  the 
subjects  required  by  the  Board.  The  secretary  shall  enter  in  the  registrator  kept 
for  this  purpose  the  names  of  all  nurses  which  are  entitled  to  registration  under  the 
provisions  of  this  Act.  The  schools  so  registered  shall  be  required  to  pay  to  the 
secretary  of  the  Board  a  fee  of  twenty-five  ($25.00)  dollars  upon  registration. 

Notice  of  Board  Meetings 

SEC.  7.  The  Board  shall  adopt  rules  which  may  be  changed  from  time  to  tune 
for  the  examination  of  applicants  for  registration  under  this  Act,  and  the  Board 
shall  meet  not  less  than  once  each  year  for  the  purpose  of  conducting  examinations 
for  applicants  for  registration.  The  time  and  place  of  meeting  of  said  Board  shall 
be  advertised  in  the  public  press,  and  notice  shall  be  sent  to  each  training-school 
registered  under  this  Act,  to  each  regularly  organized  association  of  nurses  within 
the  State,  to  at  least  one  journal  of  nursing,  and  notice  shall  be  mailed  to  each  person 
who  has  made  application  for  examination  under  the  provisions  of  this  Act,  at  least 
thirty  days  prior  to  said  meeting;  at  such  meeting  it  shall  be  the  duty  of  the  Board 
to  examine  all  persons  who  are  applicants  for  registration  under  this  Act,  and  to 
recommend  to  the  Governor  each  duly  qualified  applicant  who  shall  have  success- 
fully passed  said  examination. 

Recording  of  Certificate 

SEC.  8.  Every  person  to  whom  a  certificate  of  registration  shall  have  been  issued 
shall,  within  thirty  days  thereafter,  cause  the  same  to  be  recorded  in  the  office  of 
the  county  clerk  of  the  county  in  which  such  person  resides,  and  all  such  persons 
shall,  when  changing  the  county  of  their  residence  within  the  State,  cause  said 
certificate  to  be  recorded  in  the  office  of  the  county  clerk  within  thirty  days  after 
acquiring  residence  in  said  new  county,  and  it  is  further  provided  that  no  county 
clerk  of  this  State  shall  demand  or  receive  any  fee  or  compensation  for  filing,  record- 
ing, making  certified  copy  of  nurse's  certificate,  or  affixing  seal  to  certificate. 

Registration  Fee — Requirements  of  Applicants 

SEC.  9.  All  applicants  for  registration  under  the  provisions  of  this  Act  shall 
furnish  satisfactory  evidence  that  he  or  she  is  at  least  twenty-two  years  of  age,  of 
good  moral  character,  and  has  been  graduated  from  the  training-school  of  nurses 
connected  with  a  general  hospital  approved  by  the  Board,  where  a  systematic  course 
of  at  least  two  years'  instruction  is  given,  except  in  the  cases  hereinafter  provided 
for,  and  all  persons  registered  under  the  provisions  of  this  Act  shall  pay  to  the 
secretary  of  said  Board  a  registration  fee  of  ten  ($10.00)  dollars. 

Requirements  for  Non-Graduates 

SEC.  10.  Any  person  of  the  required  age  who  has  pursued  as  a  business  the  voca- 
tion of  nursing  for  a  period  of  not  less  than  five  years  prior  to  the  passage  of  this 


108  STATE   REGISTRATION   FOR   NURSES 

Act,  and  who  presents  to  the  Board  a  certificate  that  he  or  she  is  a  competent  per- 
son to  give  efficient  care  to  the  sick,  said  certificate  being  signed  by  one  licensed 
physician  in  the  active  practice  of  the  profession  of  medicine,  and  two  registered 
nurses  provided  for  by  this  Act,  may  register  after  taking  and  passing  an  examina- 
tion given  by  said  Board  at  any  time  within  two  years  following  the  passage  of  this 
Act. 

Eligible  Without  Examination  and  Reciprocity 

Any  person  who  shall  have  graduated  prior  to  July  i,  1917,  and  after  January  i, 
1890,  from  a  reputable  training-school  for  nurses  connected  with  a  general  hospital 
which  now  gives  a  course  of  at  least  two  years'  training,  and  who  shall  graduate 
therefrom,  shall  be  entitled  to  registration  under  the  provisions  of  this  Act  upon 
payment  of  the  fee  therefor  without  examination.  And  any  person  who  shall  have 
graduated  from  a  training-school  approved  by  the  Board,  connected  with  a  special 
hospital  requiring  a  systematic  course  of  at  least  two  years'  training,  and  who  at  the 
time  of  application  shall  have  obtained  in  a  reputable  general  hospital  one  year's 
additional  training  in  subjects  not  adequately  taught  in  the  training-school  from 
which  they  were  graduated,  and  who  shall  pass  an  examination  by  the  Board  in  those 
additional  subjects  not  adequately  taught  in  the  training-school  from  which  they 
were  graduated,  shall  be  entitled  to  registration  on  the  payment  of  the  regular  fee 
without  examination. 

The  Governor  may  issue  a  certificate  to  any  person  registered  under  the  law 
of  any  State  having  the  requirements  equivalent  to  those  of  Montana,  the  Board 
and  the  Governor  to  be  the  sole  judges  thereof. 

Dissatisfaction  of  Applicants  Settled  by  State  Association 

SEC.  ii.  Any  person  who  makes  application  to  the  Board  for  examination  for 
registration,  having  the  required  qualifications  as  hereinafter  provided  for,  and  who 
shall  not  pass  said  examination,  or  any  person  registered  in  any  other  State  who  shall 
be  refused  registration  by  the  Board  without  examination  as  provided  for  in  this 
Act,  may  appeal  to  the  Montana  State  Association  of  Graduated  Nurses  at  the 
first  annual  meeting  thereafter,  and  shall  abide  by  the  majority  vote  of  said  associa- 
tion after  a  full  hearing  thereon. 

Examination  for  All  Applicants  After  1917 

SEC.  12.  On  and  after  July  i,  1917,  all  applicants  for  certificates  of  registration 
under  the  provision  of  this  Act  shall  pass  the  examination  required  by  the  Board 
before  receiving  a  certificate  of  registration. 

Compulsory  Registration 

SEC.  13.  It  shall  be  unlawful  hereafter  for  any  person  to  practice  nursing  as  a 
trained,  graduate,  or  registered  nurse  without  a  certificate  as  herein  provided  for. 

Fine  for  Offense 

Any  person  who  shall  assume  a  title  indicating  that  said  person  is  a  registered 
nurse,  or  who  shall  hold  himself  or  herself  out  to  be  a  registered  nurse,  and  who  shall 
not  be  registered  in  accordance  with  the  provisions  of  this  Act,  shall  be  guilty  of  a 
misdemeanor,  and  upon  conviction  thereof  shall  be  fined  for  the  first  offense  not  less 
than  then  ($10.00)  dollars  nor  more  than  one  hundred  ($100.00)  dollars  and  for 
each  subsequent  offense  not  less  than  two  hundred  ($200.00)  dollars  nor  more  than 
five  hundred  ($500.00)  dollars. 


FULL   TEXT    OF    LAWS  IOQ 

Not  Applicable  to  Gratuitous  Nursing 

SEC.  14.  This  Act  shall  not  be  construed  as  conferring  any  authority  to  practice 
medicine,  or  undertake  the  treatment  of  disease,  in  violation  of  the  Medical  Practice 
Act  of  the  State  of  Montana,  or  to  affect  or  apply  to  the  gratuitous  nursing  of  the 
sick  by  friends  or  members  of  the  family,  nor  to  any  person  nursing  the  sick  for  hire 
who  does  not  in  any  way  assume  or  pretend  to  have  special  training  in  the  profes- 
sion of  nursing,  and  who  also  does  not  pretend  to  be  a  registered  nurse. 

Revocation  of  Certificates 

SEC.  15.  The  Governor  may,  upon  recommendation  by  the  Board,  revoke  any 
certificate  previously  issued  to  the  holder  thereof,  after  a  hearing  by  the  full  Board 
on  charges  made  by  any  licensed  physician  in  the  active  practice  of  his  profession, 
or  upon  charges  made  by  the  registered  nurse  charging  dishonesty,  gross  incompe- 
tence, a  habit  rendering  a  nurse  unsafe  or  unfit  to  care  for  the  sick,  or  conduct  or 
act  derogatory  to  the  morals  or  standing  of  the  profession  of  nursing,  or  any  wilful 
fraud  or  misrepresentation  practised  in  securing  such  certificate. 

The  person  so  charged  under  this  Section  shall  be  given  at  least  thirty  days' 
notice  in  writing  of  the  specific  charge  against  him  or  her,  and  of  the  time  and  place 
of  hearing  said  charge  by  the  Board,  at  which  time  and  place  such  person  shall  be 
entitled  to  appear  and  to  be  represented  by  counsel.  Upon  the  revocation  of  any 
certificate  heretofore  issued,  the  same  shall  be  null  and  void,  and  the  secretary 
shall  take  the  name  of  the  holder  thereof  from  the  roll  of  the  registered  nurses,  and 
shall  give  notice  to  each  county  clerk  within  the  State  where  said  certificate  may 
have  been  registered  of  the  revocation  thereof,  and  it  shall  be  the  duty  of  such  county 
clerk  to  note  upon  such  record  the  fact  that  such  certificate  has  been  revoked  and 
the  date  of  revocation. 

SEC.  1 6.  This  Act  shall  be  in  full  force  and  effect  from  and  after  its  passage 
and  approval. 

SEC.  17.    All  Acts  and  parts  of  Acts  in  conflict  herewith  are  hereby  repealed. 

NEBRASKA 

Be  it  enacted  by  the  Legislature  of  the  State  of  Nebraska: 

SECTION  i.  It  shall  be  unlawful  for  any  person  to  practice  professional  nursing 
as  a  Registered  Nurse  in  this  State  unless  such  person  shall  have  first  obtained  a 
certificate  of  registration  as  provided  in  this  Act. 

SEC.  2.  The  State  Board  of  Health  shall  have  power,  not  inconsistent  with  the 
provisions  of  this  Act,  to  make  all  reasonable  rules  and  regulations  necessary  to  the 
performance  of  its  duties  under  the  provisions  hereof.  The  said  State  Board  of 
Health,  among  other  rules,  shall  prescribe  what  evidence  shall  be  necessary  to 
establish  the  good  moral  character  of  a  person  making  application  for  a  certificate 
to  become  a  professional  nurse.  The  said  State  Board  of  Health,  hi  addition  to 
other  rules,  shall  also  make  provision  governing  the  duties  of  the  secretaries  pro- 
vided for  in  this  Act.  It  shall  also  be  the  duty  of  the  State  Board  of  Health  to  see 
that  the  provisions  of  this  Act  are  strictly  enforced,  to  issue  certificates,  as  herein- 
after provided,  and  to  cause  to  be  prosecuted  all  violations  of  this  Act.  Said  Board 
of  Health  shall,  within  thirty  days  after  the  taking  effect  of  this  Act,  appoint  three 
secretaries  for  the  purpose  of  assisting  the  said  State  Board  of  Health  hi  carrying 
out  and  in  enforcing  provisions  of  this  Act.  Said  secretaries  shall  be  appointed 
from  nurses  engaged  in  active  work,  who  have  been  graduated  for  at  least  a  period 
of  one  year  from  reputable  training-schools  requiring  a  course  of  training  of  not  less 
than  one  or  more  years'  duration  in  actual  hospital  service.  And  provided  further, 
that  after  the  first  appointment  the  nurses  appointed  on  each  succeeding  term  shall 
be  appointed  from  nurses  registered  under  this  Act. 


110  STATE   REGISTRATION   FOR   NURSES 

SEC.  3.  Each  of  said  secretaries  shall  serve  for  a  term  of  three  years  and  until 
his  or  her  successor  is  appointed  and  qualified,  except  in  the  case  of  those  first  ap- 
pointed, who  shall  hold  office  as  follows:  One  shall  be  appointed  to  hold  office  for  one 
year,  one  for  two  years,  and  one  for  three  years. 

SEC.  4.  Said  secretaries  shall  have  the  power,  and  it  shall  be  their  duty,  to 
assist  and  advise  the  State  Board  of  Health  in  the  performance  of  its  duties  as 
prescribed  by  this  Act.  To  that  end  they  shall  organize  by  the  election  of  one  of 
their  number  as  president,  another  as  secretary,  and  another  as  vice-president  and 
treasurer,  and  shall  have  their  headquarters  at  the  State  Capitol,  shall  have  a  common 
seal,  and  the  secretary  and  the  president  shall  have  the  power  to  administer  oaths. 

SEC.  5.  Each  secretary  shall  receive  compensation  of  five  ($5.00)  dollars  per 
day  for  each  day  of  actual  service  and  ten  (10)  cents  per  mile  for  each  mile  actually 
traveled  in  attending  the  meetings  of  said  secretaries,  which  compensation,  with  the 
necessary  expenses  of  said  secretaries,  shall  in  no  case  exceed  the  amount  which  has 
been  collected  as  fees  from  applicants  for  registration.  And  the  secretary  shall 
annually,  on  or  before  the  second  Monday  in  October,  make  a  report  to  the  Governor 
of  the  work  of  said  Board,  together  with  the  amount  of  fees  collected.  And  the 
amount  paid  out  for  salary  and  expenses  of  secretary  as  provided  by  law  and  the 
balance  of  such  fees  shall  be  paid  into  the  State  treasury  for  the  benefit  of  the  Gen- 
eral Fund. 

SEC.  6.  Said  secretaries  shall  hold  public  examinations  at  least  twice  hi  each 
year  at  Lincoln,  Nebraska,  and  at  such  tunes  and  places  as  the  State  Board  of 
Health  deem  advisable,  and  notice  of  the  time  and  place  of  such  examinations  shall 
be  given  to  three  daily  papers,  at  least  ten  days  before  such  examination,  and  to  two 
nursing  journals,  and  said  secretaries  may  give  such  other  notice  as  they  deem  ad- 
visable. Any  person  desiring  to  obtain  a  certificate  of  registration  under  this  Act 
shall  make  application  to  said  secretaries  therefor  and  shall  pay  their  said  treasurer 
an  examination  fee  of  ten  ($10.00)  dollars,  and  shall  present  himself  or  herself  at 
the  next  regular  meeting  of  said  secretaries  for  examination  of  applicants,  and  upon 
said  secretaries  being  satisfied  that  the  applicant  is  (i)  of  the  age  of  twenty-one 
years  or  over,  (2)  of  good  moral  character,  (3)  has  received  an  education  equivalent 
to  that  required  for  admission  into  high-schools  of  this  State,  and  (4)  has  graduated 
from  a  training-school  connected  with  a  general  hospital,  sanitarium,  or  sanatorium, 
where  two  or  three  years  of  training  with  a  systematic  course  of  instruction  is  given 
in  the  hospital,  or  has  graduated  from  a  training-school  in  connection  with  a  hospital, 
sanitarium,  or  sanatorium  of  good  standing,  supplying  a  systematic  training  of  two 
or  more  years  corresponding  to  the  above  standards,  providing  graduates  of  train- 
ing-schools in  connection  with  special  hospitals,  giving  a  two  years'  course,  who  shall 
obtain  six  months  or  more  additional  training  in  an  approved  general  hospital,  shall 
be  eligible  to  examination  in  the  following  subjects:  Theoretical  and  practical  nurs- 
ing, physiology  and  anatomy,  materia  medica,  practical  and  surgical  nursing  in 
mental  and  nervous  diseases,  and  upon  such  applicant  passing  said  examination  to 
the  satisfaction  of  said  secretaries,  they  shall  enter  said  applicant's  name  in  the 
register  hereinafter  provided  for,  and  shall  issue  to  said  person  a  certificate  of  regis- 
tration authorizing  said  person  to  practice  the  profession  of  nursing  as  a  "  registered 
nurse." 

SEC.  7.  All  nurses  graduating  prior  to  January  ist,  1911,  possessing  the  above 
qualifications,  or  who  have  taken  a  regular  course  of  instruction  of  six  months  or 
more  in  some  regular  hospital  or  nurses'  training-school  in  good  standing,  and  have 
had  at  least  twelve  months  of  actual  practice  in  nursing  in  addition  thereto,  may 
register  without  examination  prior  to  September  ist,  1910.  Nurses  that  have  had 
two  years  of  actual  practice  in  nursing  in  this  State  and  are  recommended  in  writing 
by  four  reputable  physicians  and  have  passed  the  examination  provided  for  in 
Section  6-of  this  Act  mayregister  by  paying  the  regular  fee  on  or  before  January  ist, 
1910,  provided  this  section  shall  not  apply  to  any  applicant  who  fails  to  satisfy 
the  Board  of  Secretaries  that  the  applicant  is  of  good  moral  character. 


FULL   TEXT   OF   LAWS  III 

SEC.  8.  The  State  Board  of  Health  is  empowered  to  recognize  certificates 
issued  to  nurses  under  the  laws  of  other  States  having  substantially  similar  require- 
ments to  those  existing  in  this  State;  provided,  that  such  States  recognize  certificates 
issued  by  the  State  of  Nebraska,  then  certificates  issued  by  authority  of  such  other 
States  may  be  deemed  sufficient  evidence  of  qualifications  of  the  licentiate  without 
further  examination  for  certificate  in  this  State;  the  fee  for  such  certificate  shall  be 
ten  ($10.00)  dollars. 

SEC.  9.  This  Act  shall  not  be  construed  to  apply  to  the  gratuitous  nursing  of 
the  sick  by  friends  or  members  of  the  family,  and  also  it  shall  not  apply  to  any 
person  nursing  the  sick  for  hire,  but  who  does  not  hi  any  way  assume  to  be  a  regis- 
tered nurse. 

SEC.  10.  Said  secretaries  shall  keep  a  register  in  which  shall  be  entered  names 
of  all  persons  to  whom  certificates  are  issued  under  this  Act,  and  said  register  shall 
be  at  all  times  open  to  public  inspection. 

SEC.  ii.  A  person  who  has  received  his  or  her  certificate  according  to  the  pro- 
visions of  this  Act,  shall  be  styled  and  known  as  a  "Registered  Nurse."  No  other 
person  shall  assume  such  title  or  use  the  abbreviation  "  R.  N.,"  or  any  other  letters  or 
figures  to  indicate  that  he  or  she  is  a  registered  nurse. 

SEC.  12.  Said  secretaries  may  revoke  any  certificate  for  sufficient  cause,  but 
before  this  is  done  the  holder  of  said  certificate  shall  have  thirty  (30)  days'  notice, 
and  after  a  full  and  fair  hearing  of  the  charges  made,  by  a  majority  vote  of  said 
secretaries  the  certificates  may  be  revoked. 

SEC.  13.  Any  person  violating  any  of  the  provisions  of  this  Act,  or  who  shall 
wilfully  make  any  false  representation  to  the  said  secretaries  in  applying  for  a 
certificate,  shall  be  guilty  of  a  misdemeanor,  and  upon  conviction  shall  be  punished 
by  a  fine  of  not  more  than  one  hundred  ($100.00)  dollars  nor  less  than  ten  ($10.00) 
dollars,  provided  that  nothing  hi  this  Act  contained  shall  be  construed  to  apply  to 
members  of  religious  societies  gratuitously  nursing. 

SEC.  14.  Whereas  an  emergency  exists  this  Act  shall  be  in  effect  and  full  force 
on  and  after  its  passage. 

NEW  HAMPSHIRE 

AN   ACT   TO   PROVIDE   FOR   STATE   REGISTRATION   OF   NURSES 

Be  it  enacted  by  the  Senate  and  House  of  Representatives  in  General  Court  convened: 

SECTION  i.  Any  resident  of  the  State  of  New  Hampshire,  being  over  twenty- 
one  years  of  age  and  of  good  moral  character,  holding  a  diploma  from  a  training- 
school  for  nurses  connected  with  a  hospital  giving  a  course  of  at  least  two  years  in 
the  hospital  and  registered  by  the  Regent  of  the  State  Boards  of  Medical  Examiners 
as  maintaining  in  this  and  other  respects  proper  standards,  all  of  which  shall  be 
determined  by  the  said  Regent,  and  who  shall  have  received  from  the  said  Regent 
a  certificate  of  his  or  her  qualification  to  practice  as  a  registered  nurse,  shall  be 
styled  and  known  as  a  registered  nurse,  and  no  other  person  shall  assume  such 
title,  or  use  the  abbreviation  R.  N.,  or  any  other  words,  letters,  or  figures  to  in- 
dicate that  the  person  using  the  same  is  such  a  registered  nurse. 

Nothing  contained  in  this  Act  shall  be  considered  as  conferring  any  authority 
to  practice  medicine  or  undertake  the  treatment  or  cure  of  disease  in  violation  of  the 
medical  practice  Acts  of  the  State  of  New  Hampshire. 

Any  person  from  other  States  registered  by  the  said  Regent  as  maintaining 
standards  not  lower  than  those  provided  by  this  chapter,  who  shall  show  to  the 
satisfaction  of  the  said  Regent  that  he  or  she  is  properly  and  duly  registered  for  the 
practice  of  professional  nursing  in  such  States,  upon  the  payment  of  the  usual  fees 
for  certificate  provided  by  this  Act,  shall  be  entitled  to  a  license  to  practice  profes- 
sional nursing  in  this  State  without  an  examination. 

SEC.  2.    Upon  the  taking  effect  of  this  Act,  the  Graduate  Nurses'  Association 


112  STATE   REGISTRATION   FOR   NURSES 

of  New  Hampshire  shall  nominate  for  examiners  ten  of  their  members  who  have  had 
not  less  than  five  years'  experience  in  their  profession,  and  at  each  annual  meeting 
of  said  association  thereafter  two  other  candidates.  The  Regent  of  the  State 
Boards  of  Medical  Examiners  shall  appoint  a  board  of  five  examiners  from  such  list. 
One  member  of  said  Board  shall  be  appointed  for  one  year,  one  for  two  years,  one 
for  three  years,  one  for  four  years,  and  one  for  five  years.  Upon  the  expiration  of 
the  term  of  office  of  the  examiner,  the  said  Regent  shall  likewise  fill  the  vacancy  for 
a  term  of  five  years  and  until  his  or  her  successor  is  chosen.  An  unexpired  term  of 
an  examiner,  caused  by  death,  resignation,  or  otherwise,  shall  be  filled  by  the 
Regent  in  the  same  manner  as  an  original  appointment  is  made.  This  Board  of 
Examiners  shall  also  act  as  inspectors  of  training-schools. 

The  said  Regent,  with  the  advice  of  the  Board  of  Examiners  above  provided  for, 
shall  make  all  necessary  rules  for  the  examination  of  nurses  applying  for  certifica- 
tion under  this  Act.  Each  person  so  applying  for  certification,  or  for  examination 
and  certification,  shall  be  charged  a  fee  of  five  ($5.00)  dollars,  which  shall  be  used 
to  meet  the  actual  expenses  of  the  Regent  and  Board  of  Examiners.  From  the 
fees  provided  by  this  Act,  the  Regent  shall  pay  all  proper  expenses  incurred  by  its 
provisions,  and  any  surplus  at  the  end  of  any  year  shall  be  retained  by  said  Regent 
as  a  special  fund  for  meeting  expenses  which  may  be  incurred  in  any  subsequent  year. 
The  members  of  the  Examining  Board  shall  be  paid  by  the  Regent  the  sum  of  five 
($5.00)  dollars  for  each  day  actually  engaged  in  the  service,  and  all  their  legitimate 
and  necessary  expenses.  Said  fees  and  expenses  shall  be  paid  from  fees  received 
under  the  provisions  of  this  Act,  and  no  part  of  the  same  shall  be  paid  out  of  the 
state  treasury.  The  said  Regent  shall  report  annually  to  the  Governor  the  receipts 
and  expenditures  under  the  provisions  of  this  Act,  and  shall  be  held  accountable 
therefor. 

The  said  Regent  may  revoke  any  such  certificate  granted  by  him  for  sufficient 
cause  after  notice  in  writing  to  the  holder  thereof  and  a  fair  hearing  thereon.  Such 
notice  shall  be  given  by  the  Regent  to  the  party  complained  of  at  least  fourteen  (14) 
days  before  the  day  of  hearing  and  shall  contain  a  statement  of  the  grounds  upon 
which  the  complaint  is  based.  The  hearings  upon  such  complaints  shall  in  all  cases 
be  conducted  in  private,  except  upon  the  special  request  of  the  party  complained  of. 
No  person  shall  thereafter  practice  as  a  registered  nurse  under  any  such  revoked 
certificate. 

SEC.  3.  The  Regent  of  the  State  Boards  of  Medical  Examiners  may,  upon  the 
recommendation  of  said  Board  of  Examiners  above  provided  for,  waive  the  exami- 
nation of  any  graduate  in  good  standing  holding  a  diploma  from  a  training-school 
connected  with  a  hospital  giving  a  training  of  not  less  than  two  years,  and  of  such 
persons  now  in  training  at  the  time  of  the  passage  of  this  Act  in  a  hospital  giving  a 
two  years'  course  and  shall  hereafter  be  graduated  who  shall  apply  in  writing  for 
such  certificate  within  three  years  after  the  passage  of  this  Act,  and  shall  also 
grant  a  certificate  to  any  nurse  of  good  moral  character  who  has  been  engaged  in 
the  actual  practice  of  nursing  for  not  less  than  three  years  next  prior  to  the  passage 
of  this  Act  who  shall  satisfactorily  pass  an  examination  in  practical  nursing  within 
three  years  hereafter. 

SEC.  4.  Nothing  in  this  Act  shall  be  construed  to  affect  or  apply  to  the  gratui- 
tous nursing  of  the  sick  by  friends  or  members  of  the  family,  and  also  it  shall  not 
apply  to  any  person  nursing  the  sick  for  hire,  but  who  does  not  in  any  way  assume  to 
be  a  registered  nurse. 

SEC.  5.  Any  violation  of  this  Act  shall  be  a  misdemeanor,  punishable  by  a  fine 
of  not  less  than  fifty  ($50.00)  dollars.  Any  person  who  shall  wilfully  make  any  false 
representation  in  applying  for  a  license  shall  be  guilty  of  a  misdemeanor,  and  upon 
conviction  be  punished  by  a  fine  of  not  less  than  one  hundred  ($100.00)  dollars  nor 
more  than  five  hundred  ($500.00)  dollars. 

SEC.  6.    This  Act  shall  take  effect  upon  its  passage. 


FULL   TEXT   OF   LAWS 

NEW  JERSEY 

Be  it  enacted  by  the  Senate  and  General  Assembly  of  the  Slate  of  New  Jersey: 

SECTION  i .  Within  thirty  (30)  days  after  the  approval  of  this  Act  the-Governor 
shall,  by  and  with  the  advice  and  consent  of  the  Senate,  appoint  five  (5)  persons  to 
be  known  as  the  State  Board  of  Examiners  of  Nurses.  Each  member  of  said  Board 
shall  be  a  resident  of  this  State  and  a  graduate  of  a  training-school  for  nurses  con- 
nected with  an  incorporated  general  or  private  hospital  requiring  not  less  than  two 
(2)  years'  training  in  the  hospital  with  a  systematic  course  of  instruction  in  medical, 
surgical,  and  obstetrical  nursing,  and  children's  diseases,  and  shall  have  been  engaged 
in  nursing  for  not  less  than  five  (5)  years  after  graduation.  One  member  of  said 
Board  first  appointed  shall  hold  office  for  one  (i)  year,  two  for  two  (2)  years,  and 
two  for  three  (3)  years,  or  until  their  successors  are  appointed,  and  annually  there- 
after from  the  date  of  expiration  of  the  term  of  office  of  an  examiner,  the  Governor 
shall  fill  the  vacancy  for  a  term  of  three  (3)  years  with  nurses  possessing  the  above 
specified  qualifications.  Said  appointees  shall,  within  thirty  (30)  days  after  the 
receipt  of  their  commissions,  take,  subscribe,  and  file  in  the  office  of  the  Secretary 
of  State  the  oath  or  affirmation  prescribed  by  law.  An  unexpired  term  of  an 
examiner  caused  by  death,  resignation,  or  otherwise,  shall  be  filled  by  the  Governor 
in  the  same  manner  as  an  original  appointment  is  made. 

SEC.  2.  The  board  of  examiners  shall  elect  a  president  and  secretary-treasurer 
from  its  members;  it  shall  have  a  common  seal;  it  shall  make  and  adopt  all  necessary 
rules  not  inconsistent  with  the  laws  of  this  State  or  of  the  United  States,  whereby 
to  perform  the  duties  and  transact  the  business  required  under  the  provisions  of  this 
Act. 

SEC.  3.  Said  board  shall  hold  meetings  for  examinations  at  the  capital  of  this 
State  on  the  third  (3d)  Tuesday  in  June  of  each  year,  and  at  such  other  times  as  the 
board  may  deem  expedient.  The  first  meeting  of  said  board  shall  take  place  the  first 
June  after  the  passage  of  this  Act,  and  at  such  other  tunes  as  the  board  may  deem 
expedient.  Said  board  shall  keep  an  official  record  of  all  its  meetings  and  an  official 
register  of  all  applications  for  registration  under  the  provisions  of  this  Act  to  deter- 
mine the  qualifications  of  the  applicant  to  practice  as  a  "Registered  Nurse,"  in  this 
State.  Said  register  shall  show  name,  age,  nativity,  last  and  permanent  place  of 
residence,  and  photograph  of  each  applicant;  the  time  he  or  she  has  spent  in  obtaining 
a  competent  grammar  and  high-school  education  as  hereinafter  provided,  and  in 
study  in  training-schools  for  nurses  connected  with  hospitals,  holding  diploma 
thereof,  and  names  and  location  of  all  such  schools  or  examining  boards  which  have 
granted  said  applicant  any  degree  or  certificate  of  registration  of  State  examination; 
said  register  shall  also  show  whether  said  applicant  was  examined,  registered,  or 
rejected  under  this  Act,  and  said  register  shall  be  prima  facie  evidence  of  all  matters 
therein  contained. 

SEC.  4.  The  members  of  said  board  shall  receive  five  ($5.00)  dollars  per  day 
and  their  actual  necessary  expenses  incurred  in  the  discharge  of  their  duties,  and 
the  secretary-treasurer  shall  receive  an  additional  salary  to  be  fixed  by  the  board, 
not  to  exceed  one  hundred  ($100.00)  dollars  per  year.  Said  expenses  and  said 
salary  shall  be  paid  out  of  the  receipts  of  said  board  as  hereinafter  provided,  and 
if  any  surplus  remain,  the  same  shall  be  held  by  the  State  Treasurer  for  expenses 
of  the  board. 

SEC.  5.  It  shall  be  the  duty  of  the  board  to  meet  within  sixty  (60)  days  after 
their  appointment  and  once  in  every  year  thereafter,  and  such  other  times  as  the 
board  may  deem  expedient,  for  the  purposes  of  holding  examinations.  Notice 
of  such  meetings  shall  be  given  to  the  public  press  and  to  at  least  one  journal 
devoted  to  the  interests  of  the  nursing  profession  and  by  mail  to  every  applicant 
and  to  every  training-school  in  New  Jersey,  at  least  thirty  (30)  days  prior  to  the 
meetings.  At  such  meetings  it  shall  be  the  duty  of  the  board  to  examine  all  such 
applicants  for  registration  under  this  Act  as  are  required  to  be  examined,  and  to 


114  STATE   REGISTRATION   FOR   NURSES 

issue  to  each  duly  qualified  applicant,  who  shall  have  complied  with  the  pertinent 
provisions  of  this  Act,  the  certificate  of  registration  provided  for  in  this  Act.  Any 
person  to  whom  a  certificate  of  registration  shall  be  issued  shall,  within  sixty  (60) 
days  thereafter  and  upon  the  payment  of  a  fee  of  fifty  (50)  cents,  cause  the  same  to 
be  recorded  with  the  county  clerk  of  the  county  in  which  such  person  resided  at 
the  tune  of  application.  Such  person  shall  be  prepared  whenever  requested  to  ex- 
hibit such  certificate  of  registration  or  a  certified  copy  thereof.  Any  applicant 
for  registration  who  is  at  least  twenty-one  (21)  years  of  age,  of  good  moral  char- 
acter, having  a  grammar-school  certificate  and  one  year  of  an  approved  high-school 
or  their  equivalent,  who  shall  show  to  the  satisfaction  of  the  board  that  he  or  she 
is  a  graduate  of  a  training-school  for  nurses,  which  gives  a  course  of  not  less  than 
two  (2)  years  in  a  public  or  private  general  hospital  having  capacity  and  beds 
for  daily  treatment  of  twenty-five  (25)  patients,  where  medical,  surgical,  and  ob- 
stetric cases  and  children  are  treated,  or  its  equivalent  as  determined  by  the  board 
of  examiners,  shall  be  eligible  for  such  examination  upon  the  payment  of  a  fee  of 
five  ($5.00)  dollars,  references  from  one  practicing  physician  or  surgeon  and  one 
registered  nurse,  and  photograph  of  applicant  to  be  deposited  upon  the  riling  of  the 
application  for  examination  at  least  fifteen  (15)  days  prior  to  the  date  of  examina- 
tion. The  application  shall  be  accompanied  by  an  affidavit.  Said  examination 
shall  include  such  subjects  as  elementary  anatomy,  physiology,  bacteriology,  ma- 
teria  medica,  dietetics,  hygiene,  medical,  surgical,  and  obstetrical  nursing,  children's 
diseases,  and  contagion.  If  such  applicant  shall  pass  such  examination  with  a  gen- 
eral average  of  seventy  per  centum  (70%)  and  at  least  sixty  per  centum  (60%)  in 
each  subject,  the  board  shall  issue  a  certificate  of  registration  to  said  applicant. 
Any  person  who  receives  such  certificate  shall  be  known  as  a  registered  nurse,  and 
shall  be  entitled  to  append  the  letters  R.  N.  to  the  name  of  such  person.  Ap- 
plicants who  fail  to  pass  said  examination  may  be  re-examined  at  any  subsequent 
examination  without  additional  fee. 

SEC.  6.  Any  person  who  is  at  least  twenty-one  (21)  years  of  age,  of  good  moral 
character,  and  a  resident  of  the  State,  applying  for  registration  within  two  (2)  years 
of  the  passage  of  this  Act,  and  who  shall  by  affidavit  or  otherwise  show  to  the 
satisfaction  of  the  board  that  he  or  she  is  a  graduate  of  a  training-school  for  nurses 
which  gives  a  course  of  not  less  than  two  (2)  years  in  a  public  or  private  general 
hospital  where  medical,  surgical,  and  obstetrical  cases  and  children's  diseases  are 
treated,  or  that  he  or  she  was  at  the  time  of  the  passage  of  this  Act  a  student  hi 
such  training-school  for  nurses,  and  afterward  was  graduated  therefrom,  shall  be 
eligible  for  registration  without  examination  upon  the  payment  of  a  fee  of  five 
($5.00)  dollars,  the  application  to  be  accompanied  by  references  and  photograph  of 
applicant. 

SEC.  7.  The  board  of  examiners,  upon  written  application,  together  with  such 
references  and  proof  of  identification  as  the  board  may  by  rule  prescribe,  may  issue 
a  certificate  without  examination  to  any  person  who  shall  have  been  registered  as  a 
registered  nurse  under  the  law  of  any  other  State,  the  requirements  of  which  for 
securing  such  registration  were  at  the  time  of  issuance  thereof  equivalent  to  the 
requirements  prescribed  by  this  Act,  and  which  gives  the  same  privilege  to  registered 
nurses  of  this  State. 

SEC.  8.  All  fees  collected  by  said  board  of  examiners  shall  be  paid  to  the  sec- 
retary-treasurer, and  said  secretary-treasurer  shall  pay  from  the  moneys  so  received, 
upon  the  approval  of  the  president,  the  salary  of  said  secretary-treasurer  and  neces- 
sary expenses  of  the  members  as  provided  in  Section  4  of  this  Act,  also  for  books, 
certificates,  stationary,  and  other  necessary  expenses  of  the  board,  provided  that  said 
board  shall  not  create  nor  incur  expenses  exceeding  the  sum  received  as  fees  under 
the  provisions  of  this  Act.  The  secretary-treasurer  shall,  before  taking  office,  give 
to  the  State  a  bond  with  surety,  conditioned  for  the  faithful  performance  of  the 
duties  of  said  office  in  the  penal  sum  of  not  less  than  one  hundred  ($100.00)  dollars, 
and  shall  keep  an  account  of  all  moneys  received  and  expended  as  aforesaid,  and 


FULL   TEXT   OF   LAWS  115 

shall  render  a  detailed  statement  thereof  to  the  comptroller  or  or  before  June  first 
(ist)  in  each  year.  The  secretary- treasurer  shall  also  submit  to  the  Governor  on  or 
before  June  first  (ist)  in  each  year  a  general  statement  of  the  work  of  the  board, 
including  therein  a  statement  of  the  number  of  applicants  received,  approved,  and 
rejected  during  the  year. 

SEC.  9.  This  Act  shall  not  apply  to  persons  nursing  gratuitously  or  for  hire, 
provided  they  do  not  assume  to  be  registered  nurses  or  to  use  the  abbreviation 
R.  N. 

SEC.  10.  The  board  of  examiners  may  by  unanimous  vote  revoke  a  certificate 
for  the  following  reasons:  dishonesty,  gross  incompetency,  a  habit  rendering  a 
nurse  unsafe  to  be  entrusted  with  or  unfit  for  the  care  of  the  sick,  conduct  derogatory 
to  the  morals  or  standing  of  the  profession  of  nursing,  or  any  wilful  fraud  or  mis- 
representation practised  in  procuring  such'  certificate.  In  complaints  for  violating 
the  provisions  of  this  Act  the  accused  shall  be  furnished  with  a  copy  of  the  complaint 
thirty  (30)  days  prior  to  a  hearing  before  the  board  in  person  or  by  an  attorney;  and 
any  person,  after  such  revocation  of  certificate,  who  shall  attempt  to  practice  as  a 
registered  nurse  or  use  the  abbreviation  R.  N.  shall  be  subject  to  the  penalties 
hereinafter  provided. 

SEC.  ii.  Any  person  violating  the  provisions  of  this  Act  shall  be  guilty  of  a 
misdemeanor,  and  upon  conviction  shall  be  punished  by  a  fine  of  not  less  than  fifty 
($50.00)  dollars  nor  more  than  two  hundred  ($200.00)  dollars  for  each  offense,  and 
it  shall  be  the  duty  of  the  respective  prosecutors  of  the  pleas  of  the  counties  of  this 
State  to  prosecute  violations  of  the  provisions  of  this  Act. 

SEC.  12.  All  Acts  or  parts  of  Acts,  general  or  special,  now  existing,  not  in 
accordance  with  the  provisions  of  this  Act  or  inconsistent  therewith,  are  hereby 
repealed. 

SEC.  13.    This  Act  shall  take  effect  immediately. 

NEW  YORK 

Public  Health  Law,  ch.  45  of  the  consolidated  laws,  New  York 

ARTICLE    12 — REGISTRATION   OF   NURSES 

SEC.  250.  Who  may  practice  as  registered  nurses.  Any  resident  of  the  State  of 
New  York,  being  over  the  age  of  21  years  and  of  good  moral  character, 
holding  a  diploma  from  a  training-school  for  nurses  connected  with  a  hospital  or 
sanitarium  giving  a  course  of  at  least  two  years,  and  registered  by  the  Regents  of 
the  University  of  the  State  of  New  York  as  maintaining  in  this  and  other  respects 
proper  standards,  all  of  which  shall  be  determined  by  the  said  Regents,  and  who 
shall  have  received  from  the  said  Regents  a  certificate  of  his  or  her  qualifications  to 
practice  as  a  registered  nurse,  shall  be  styled  and  known  as  a  registered  nurse,  and 
no  other  person  shall  assume  such  title,  or  use  the  abbreviation  R.  N.  or  any  other 
words,  letters,  or  figures  to  indicate  that  the  person  using  the  same  is  such  a  registered 
nurse.  Before  beginning  to  practice  nursing  every  such  registered  nurse  shall 
cause  such  certificate  to  be  recorded  in  the  county  clerk's  office  of  the  county  of 
his  or  her  residence,  with  an  affidavit  of  his  or  her  identity  as  the  person  to  whom 
the  same  was  so  issued  and  of  his  or  her  place  of  residence  within  such  county.  In 
every  36th  month  from  the  month  of  January,  1906,  every  registered  nurse  shall 
again  cause  his  or  her  certificate  to  be  recorded  in  the  said  county  clerk's  office,  with 
an  affidavit  of  his  or  her  identity  as  the  person  to  whom  the  same  was  issued  and 
of  his  or  her  place  of  residence  at  the  time  of  such  registration.  Nothing  contained 
in  this  article  shall  be  considered  as  conferring  any  authority  to  practice  medicine 
or  to  undertake  the  treatment  or  cure  of  disease  in  violation  of  Article  8  of  this 
chapter. 


Il6  STATE   REGISTRATION   FOR   NURSES 

SEC.  251.  Board  of  examiners;  examination;  fees.  The  board  of  examiners 
of  nurses  appointed  pursuant  to  laws  of  1903,  chapter  293,  is  continued.  The  New 
York  State  Nurses'  Association  at  each  annual  meeting  shall  nominate  for  examiners 
two  of  their  members  who  have  had  not  less  than  five  years'  experience  in  their 
profession.  Upon  the  expiration  of  the  term  of  office  of  any  examiner  now  in  office 
the  Regents  of  the  University  of  the  State  of  New  York  shall  from  the  candidates 
so  nominated  fill  the  vacancy  for  a  term  of  five  years  and  until  his  or  her  successor  is 
chosen.  An  unexpired  term  of  an  examiner,  caused  by  death,  resignation,  or  other- 
wise, shall  be  filled  by  the  Regents  in  the  same  manner  as  an  original  appointment 
is  made.  The  said  Regents,  with  the  advice  of  the  board  of  examiners  above 
provided  for,  shall  make  rules  for  the  examination  of  nurses  applying  for  certifica- 
tion under  this  article,  and  shall  charge  for  examination  and  for  certification  a  fee 
of  $5.00  to  meet  the  actual  expenses,  and  shall  report  annually  their 
receipts  and  expenditures  under  the  provisions  of  this  article  to  the  State  Comp- 
troller, and  pay  the  balance  of  receipts  over  expenditures  to  the  State  Treasurer. 
The  said  Regents  may  revoke  any  such  certificate  for  sufficient  cause  after  written 
notice  to  the  holder  thereof  and  hearing  thereon.  No  person  shall  thereafter  prac- 
tice as  a  registered  nurse  under  any  such  revoked  certificate. 

SEC.  252.  Waiver  of  examinations.  The  Regents  of  the  University  of  the  State 
of  New  York  may,  upon  the  recommendation  of  said  board  of  examiners,  waive  the 
examination  of  any  persons  possessing  the  qualifications  mentioned  in  Section  250, 
who  shall  have  been  graduated  before,  or  who  were  in  training  on  the  24th  day  of 
April,  1903,  and  shall  thereafter  be  graduated. 

SEC.  253.  Violations  of  this  Article.  Any  violation  of  this  article  shall  be  a 
misdemeanor.  When  any  prosecution  under  this  article  is  made  on  the  complaint 
of  the  New  York  State  Nurses'  Association,  the  certificate  of  incorporation  of  which 
was  filed  and  recorded  in  the  office  of  the  Secretary  of  State  on  the  second  day  of 
April,  1902,  the  fines  collected  shall  be  paid  to  said  association,  and  any  excess  in 
the  amount  of  fines  so  paid  over  the  expenses  incurred  by  said  association  in  enforc- 
ing the  provisions  of  this  article  shall  be  paid  at  the  end  of  each  year  to  the  Treasurer 
of  the  State  of  New  York. 

NORTH  CAROLINA 

The  General  Assembly  of  North  Carolina  do  enact: 

SECTION  i.  That  any  nurse  who  may  present  to  the  clerk  of  the  Superior  Court 
of  any  county  in  the  State  on  or  before  December  31,  1903,  a  diploma  from  a  repu- 
table training-school  for  nurses,  conducted  in  connection  with  a  general  hospital, 
public  or  private,  in  which  medical,  surgical,  and  obstetrical  cases  are  treated,  or  in 
connection  with  one  of  the  three  State  Hospitals  for  the  insane,  or  who  shall  exhibit 
a  certificate  of  attendance  upon  such  training-school  for  a  period  of  not  less  than  two 
years,  or  who  shall  present  a  certificate,  signed  by  three  registered  physicians,  stat- 
ing that  he  or  she  has  pursued  as  a  business  the  vocation  of  a  trained  nurse  for  not 
less  than  two  years,  and  is,  in  their  judgment,  competent  to  practice  the  same,  shall 
be  entitled  to  registration  without  examination,  and  shall  be  registered  by  the  clerk 
of  the  court  in  the  manner  hereinafter  provided. 

SEC.  2.  That  on  and  after  January  i,  1904,  registration  as  a  trained  nurse  shall 
be  made  by  the  clerk  of  the  court  solely  upon  the  presentation  to  him  a  license  from 
the  State  Board  of  Examiners  of  Nurses  as  created  and  provided  by  this  Act. 

SEC.  3.  That  there  shall  be  established  a  Board  of  Examiners  of  Nurses  com- 
posed of  five  members,  two  physicians  and  three  registered  nurses,  to  be  elected 
by  the  Medical  Society  of  the  State  of  North  Carolina  and  the  North  Carolina  State 
Nurses'  Association,  respectively,  to  be  known  by  the  title  of  "The  Board  of  Ex- 
aminers of  Trained  Nurses  of  North  Carolina."  Their  terms  of  office  shall  be  three 
years.  Three  members,  one  of  whom  shall  be  a  physician,  shall  constitute  a  quorum, 
and  a  majority  of  those  present  shall  have  a  deciding  vote.  They  shall  each  receive 


FULL   TEXT    OF    LAWS  117 

as  compensation  for  his  or  her  services  when  engaged  in  the  work  of  the  Board 
four  dollars  a  day  and  actual  traveling  and  hotel  expenses,  the  same  to  be 
paid  out  of  money  received  for  license  issued,  and  in  no  case  to  be  charged  upon  the 
treasury  of  the  State. 

SEC.  4.  That  the  said  Board  of  Examiners  is  authorized  to  elect  such  officers 
and  frame  such  by-laws  as  may  be  necessary,  and  upon  the  occurrence  of  a  vacancy 
is  empowered  to  fill  such  vacancy  for  the  unexpired  term. 

SEC.  5.  That  after  January  i,  1904,  it  shall  be  the  duty  of  said  Board  of  Ex- 
aminers to  meet  not  less  frequently  than  once  in  every  year,  notice  of  which  meeting 
shall  be  given  in  the  public  press.  At  such  meetings,  it  shall  be  their  duty  to  examine 
all  applicants  for  license  as  registered  nurse,  of  good  moral  character,  who  can  prove 
to  the  Board  that  he  or  she  is  more  than  twenty-one  years  of  age,  has  received  the 
equivalent  of  a  high-school  education,  and  has  graduated  from  a  training-school 
connected  with  a  general  hospital  or  sanitarium,  where  three  years  of  training,  with 
a  systematic  course  of  instruction,  is  given  in  the  hospital. 

Examinations  will  be  held  in  the  elements  of  anatomy,  physiology,  materia 
medica,  in  medical,  surgical,  obstetrical,  and  practical  nursing,  invalid  cookery,  and 
household  hygiene,  and,  if  on  such  examination  they  be  found  competent,  to  grant 
each  applicant  a  license,  authorizing  him  or  her  to  register  as  hereinafter  provided, 
and  to  use  the  title  "Registered  Nurse,"  signified  by  the  letters  "R.  N." 

The  said  Board  of  Examiners  may,  in  its  discretion,  issue  license  without  ex- 
amination to  such  applicants  as  shall  furnish  evidence  of  competency  entirely 
satisfactory  to  them.  Each  applicant,  before  receiving  license,  shall  pay  a  fee  of 
five  dollars,  which  shall  be  used  for  defraying  the  expenses  of  the  Board. 

SEC.  6.  That  the  Clerk  of  the  Superior  Court  of  any  county,  upon  presenta- 
tion to  him  of  a  license  from  the  said  Board  of  Examiners,  shall  register  the  date  of 
registration  with  the  same  and  residence  of  the  holder  thereof  in  a  book  to  be  kept 
in  his  own  office  for  this  purpose  and  marked  "Register  of  Trained  Nurses,"  and 
shall  issue  to  the  applicant  a  certificate  of  such  registration  under  the  seal  of  the 
Superior  Court  of  the  county,  upon  the  form  furnished  him  as  hereinafter  provided, 
for  which  registration  he  shall  be  paid  fifty  cents  by  the  applicant. 

SEC.  7.  That  it  shall  be  the  duty  of  the  North  Carolina  State  Nurses'  Associa- 
tion to  prescribe  a  proper  form  of  the  certificate  required  by  this  Act,  and  to  fur- 
nish the  same  in  sufficient  quantity,  suitably  bound  in  a  book  and  labeled  "  Register 
of  Trained  Nurses,"  to  the  clerk  of  the  court  of  each  county  in  the  State. 

SEC.  8.  The  said  Board  of  Examiners  shall  have  power  after  twenty  days' 
notice  of  the  charges  preferred  and  the  time  and  place  of  meeting,  and  after  a  full 
and  fair  hearing  on  the  same,  by  a  majority  vote  of  the  whole  Board,  to  revoke 
any  license  issued  by  them  for  gross  incompetency,  dishonesty,  habitual  intemper- 
ance, or  any  other  act  hi  the  judgment  of  the  Board  derogatory  to  the  morals  or 
standing  of  the  profession  of  nursing.  Upon  the  revocation  of  a  license  or  certifi- 
cate the  name  of  the  holder  thereof  shall  be  stricken  from  the  roll  of  registered  nurses 
in  the  hands  of  the  Secretary  of  the  Board,  and  upon  notification  of  such  action  by 
said  Secretary  by  the  Clerk  of  the  Court  from  his  register. 

SEC.  9.  That  any  person  procuring  license  under  this  Act  by  false  representa- 
tion, or  who  shall  refuse  to  surrender  a  license  which  has  been  revoked  in  the  manner 
prescribed  in  Section  8,  or  who  shall  use  the  title  "Registered  Nurse"  or  "R.  N." 
without  first  having  obtained  license  to  do  so,  shall  be  guilty  of  a  misdemeanor,  and 
upon  conviction  shall  be  fined  not  more  than  fifty  dollars  or  imprisoned  not 
exceeding  thirty  days. 

SEC.  10.  That  nothing  in  this  Act  shall  hi  any  manner  whatever  curtail  or 
abridge  the  right  and  privilege  of  any  person  to  pursue  the  vocation  of  a  nurse, 
whether  trained  or  untrained,  registered  or  not  registered. 

SEC.  ii.    That  this  Act  shall  be  in  force  from  and  after  its  ratification. 


Il8  STATE   REGISTRATION   FOR   NURSES 

OKLAHOMA 

Be  it  enacted  by  the  People  of  the  State  of  Oklahoma: 

SECTION  i.  That  upon  the  taking  effect  of  this  Act,  the  Oklahoma  State 
Association  of  Graduate  Nurses  shall  nominate  for  examiners  twelve  (12)  of  its 
members  who  have  had  not  less  than  five  years'  experience  in  their  profession  and 
who  shall  be  residents  of  the  State  of  Oklahoma.  These  nominations  shall  be  sub- 
mitted to  the  Governor  of  the  State,  who  shall  from  said  number  appoint  within 
sixty  days  a  Board  of  Examiners  to  be  composed  of  five  (5)  members;  one  of  these 
shaU  be  designated  to  hold  office  for  one  year,  two  for  two  years,  and  two  for 
three  years,  and  hereafter,  upon  the  expiration  of  the  term  of  office  of  the  person  or 
persons  so  appointed,  the  Governor  shall  appoint  a  successor  to  each  person  or 
persons  to  hold  office  for  three  years  from  a  list  of  nominations  submitted  to  him  by 
the  Oklahoma  State  Association  of  Graduate  Nurses  annually.  All  vacancies 
occurring  on  the  Board  shall  be  filled  by  the  Governor  in  the  same  manner  from  a 
list  of  five  to  be  furnished  upon  his  request  for  additional  names. 

SEC.  2.  That  the  members  of  the  State  Board  of  Examiners  shall,  as  soon  as 
organized,  and  annually  thereafter,  in  the  month  of  June,  elect  from  their  members 
a  President  and  a  Secretary,  who  shall  be  the  Treasurer.  Three  members  of  this 
Board  shall  constitute  a  quorum,  and  special  meetings  of  the  Board  shall  be  called 
by  the  Secretary  upon  written  request  of  any  two  members.  The  said  Board  of 
Examiners  is  authorized  to  frame  such  by-laws  as  may  be  necessary  to  govern  pro- 
ceedings. The  Secretary  shall  be  required  to  keep  a  record  of  all  meetings  of  the 
Board,  including  a  register  of  the  names  of  all  nurses  duly  registered  under  this  Act, 
and  may  incur  necessary  expense  in  this  behalf.  The  Secretary  shall  receive  a  salary, 
to  be  fixed  by  the  Board,  not  to  exceed  one  hundred  ($100.00)  dollars  per  annum,  also 
traveling  and  other  expenses  necessarily  incurred  in  the  discharge  of  her  official 
duties.  The  other  members  of  the  Board  shall  receive  four  ($4.00)  dollars  for  each 
day  actually  engaged  in  this  service,  and  all  legitimate  and  necessary  expenses. 
Said  expenses  and  salaries  shall  be  paid  from  fees  received  by  the  Board  under  the 
provisions  of  this  Act,  and  no  part  of  salaries  or  other  expenses  of  the  Board  shall 
be  paid  out  of  the  State  Treasury.  All  money  received  in  excess  of  the  said  allow- 
ance and  other  expenses  provided  for  shall  be  held  by  the  Treasurer  for  meeting  the 
expenses  of  the  said  Board  and  the  annual  report  of  the  Board. 

SEC.  3.  That  after  January  i,  1912,  it  shall  be  the  duty  of  the  said  Board  of 
Examiners  to  meet  at  some  convenient  point  within  the  State  not  less  frequently 
than  once  a  year,  notice  of  which  meeting  shall  be  given  to  the  public  press  and  in 
one  nursing  journal  one  month  previous  to  the  meeting.  At  this  meeting  it  shall 
be  their  duty  to  examine  all  applicants  for  registration  under  this  Act,  surgical, 
medical,  obstetrical  nursing  (genito-urinary  for  male  nurses  instead  of  obstetrics), 
anatomy,  physiology,  materia  medica,  hygiene,  and  dietetics,  to  determine  their 
fitness  and  ability  to  give  efficient  care  to  the  sick.  Upon  filing  application  for 
examination  and  registration  each  applicant  shall  deposit  a  fee  of  five  ($5.00) 
dollars. 

SEC.  4.  The  applicant  shall  furnish  satisfactory  evidence  that  he  or  she  is 
twenty-one  years  of  age,  is  of  good  moral  character,  has  received  not  less  than  one 
year  of  high-school  training,  or  its  equivalent,  has  graduated  from  a  training-school 
connected  with  a  general  hospital  where  two  years  of  continuous  residence  training 
with  a  systematic  course  of  instruction  is  given,  and  shall  have  passed  a  successful 
examination  before  this  Board. 

SEC.  5.  That  training-schools  shall  be  required  to  give  such  systematic  training 
as  will  meet  the  requirements  of  the  State  Board  of  Examiners. 

SEC.  6.  Any  registered  nurse  from  any  other  State,  where  the  laws  with  refer- 
ence to  professional  nursing  are  up  to  the  standard  of  the  laws  of  the  State  of 
Oklahoma,  who  shall  show  to  the  satisfaction  of  the  Board  that  he  or  she  is  a  trained 
graduate  nurse  of  a  hospital  or  sanitarium,  the  standard  of  instruction  and  training 


FULL   TEXT   OF   LAWS  Up 

of  which  shall  meet  the  requirements  of  the  rules  prescribed  by  the  State  Board,  and 
who  shall  be  otherwise  properly  qualified,  may  receive  a  certificate  and  be  registered 
as  a  nurse  of  this  State,  without  examination,  upon  the  payment  of  a  registration 
fee  of  ten  ($10.00)  dollars. 

SEC.  7.  It  shall  be  unlawful  hereafter  for  any  person  to  practice  nursing  as  a 
trained,  graduate,  or  registered  nurse  without  a  certificate  from  the  State  Board  of 
Nurse  Examiners.  A  nurse  who  has  received  his  or  her  certificate  according  to  the 
provisions  of  this  Act  shall  be  styled  and  known  as  a  registered  nurse.  No  other 
person  shall  assume  such  title,  nor  use  the  abbreviation  "R.  N."  or  any  other  letters 
or  characters,  to  indicate  that  he  or  she  is  a  trained,  graduate,  or  registered  nurse. 

SEC.  8.  That  this  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family;  and  also  it  shall  not  apply  to 
any  person  nursing  the  sick  for  hire,  but  who  does  not  in  any  way  assume  to  be  a 
graduate  or  registered  nurse. 

SEC.  9.  Any  person  violating  any  of  the  provisions  of  this  Act,  or  who  shall 
wilfully  make  any  false  representations  to  the  Board  of  Examiners  in  applying  for 
certificate  shall  be  guilty  of  a  misdemeanor. 

SEC.  10.  That  the  State  Board  of  Examiners  of  Graduate  Nurses  may  revoke 
any  certificate  for  sufficient  cause;  but  before  this  is  done  the  holder  of  said  certif- 
icate shall  have  thirty  days'  notice,  and  after  a  full  and  fair  hearing  of  the  charge 
by  a  majority  vote  of  the  whole  Board  can  the  certificate  be  revoked. 

OREGON 

Be  it  enacted  by  the  People  of  the  State  of  Oregon: 

Be  it  enacted  by  the  Legislative  Assembly  of  the  State  of  Oregon: 

SECTION  i.  The  Governor  of  the  State  of  Oregon  shall  appoint,  within  sixty 
(60)  days  after  the  passage  of  this  Act  a  State  Board  of  Examination  and  Registra- 
tion of  Graduate  Nurses,  composed  of  three  (3)  nurses,  whose  duty  it  shall  be  to 
enforce  the  provisions  of  this  Act.  This  Board  shall  be  composed  of  three  (3) 
members  who  shall  be  selected  from  a  list  of  five  (5)  names  suggested  by  the  Oregon 
State  Association  of  Graduate  Nurses.  At  the  time  of  appointment,  the  members 
of  said  Board  must  be  actual  residents  of  the  State  and  engaged  in  nursing  work  or 
work  pertaining  to  nursing.  They  shall  have  been  graduated  for  a  period  of  at  least 
fiye  (s)  years  from  a  reputable  training-school  for  nurses,  and,  with  the  exception 
of  those  appointed  as  the  first  members  of  the  Board,  shall  have  been  registered 
under  the  provisions  of  this  Act.  The  members  of  this  Board  shall  be  appointed 
to  hold  office  as  follows:  One  for  one  year,  one  for  two  years,  one  for  three  years, 
each  member  holding  office  from  time  of  appointment  until  a  successor  is  chosen  by 
the  Governor.  All  appointments  shall  be  made  so  that  the  term  of  office  shall  ex- 
pire on  the  first  day  of  April,  one,  two,  or  three  years  from  191 1  as  the  term  of 
appointment  shall  be,  and,  upon  the  expiration  of  the  term  of  office,  the  Governor 
shall  likewise  fill  the  vacancy  for  a  term  of  three  (3)  years  from  the  date  of  expira- 
tion of  term  of  office  from  the  list  of  five  (5)  names  submitted  to  him  each  year  by 
the  Oregon  State  Association  of  Graduate  Nurses.  An  unexpired  term  of  an  ex- 
aminer, caused  by  death,  resignation,  or  otherwise,  shall  be  filled  in  the  same  manner 
as  an  original  appointment  is  made. 

SEC.  2.  The  members  of  the  Board  shall  meet  in  the  City  of  Portland  as  soon 
as  organized,  and  shall  elect  from  their  number  a  president,  who  shall  act  as  Inspec- 
tor of  Training  Schools  for  Nurses,  and  secretary,  who  shall  also  act  as  treasurer. 
Two  (2)  members  shall  constitute  a  quorum,  and  special  meetings  of  the  Board  shall 
be  called  by  the  secretary  upon  the  written  request  of  any  two  members.  The 
Board  shall  adopt  a  seal,  which  shall  be  placed  in  the  care  of  the  secretary.  The 
secretary  shall  be  required  to  keep  a  recoM  of  all  meetings  of  the  Board,  including  a 
register  of  the  names  of  all  the  nurses  and  training-schools  for  nurses  registered  under 
this  Act.  Said  register  shall,  at  all  reasonable  times,  be  open  to  public  scrutiny, 


120  STATE   REGISTRATION   FOR   NURSES 

and  the  Board  shall  cause  the  prosecution  of  all  persons  violating  any  of  the  pro- 
visions of  this  Act,  and  may  incur  necessary  expense  on  this  behalf.  The  inspector 
shall  inspect  all  training-schools  for  nurses  existing  in  the  State  of  Oregon,  and  shall 
register  such  schools  as  fulfil  the  requirements  of  this  Act.  The  Board  shall  pro- 
vide a  schedule  of  the  subjects  upon  which  applicants  shall  be  examined  to  qualify 
for  the  requirements  of  this  Act.  The  salary  of  the  secretary  shall  be  fixed  by  the 
Board,  and  shall  not  be  less  than  one  hundred  ($100.00)  dollars  nor  more  than  five 
hundred  ($500.00)  dollars  per  annum.  The  other  members  of  the  Board  shall  receive 
four  ($4.00)  dollars  per  day  for  each  day  actually  engaged  in  attendance  upon  meet- 
ings of  the  Board,  and  in  going  to  and  coming  from  their  place  of  meeting,  and 
inspection  of  training-school  for  nurses,  and  all  legitimate  and  necessary  expenses 
incurred  in  attending  such  meetings.  All  the  expenses  of  the  Board,  including  such 
salary  and  compensation,  shall  be  paid  from  the  fees  received  by  the  Board.  A 
report  of  all  receipts  and  expenditures  shall  be  made  to  the  Governor  by  December 
iSth  of  each  year,  but  all  moneys  and  receipts  shall  be  kept  in  a  special  fund  by  and 
for  the  use  of  said  Board  exclusively. 

SEC.  3.  It  shall  be  the  duty  of  the  Board  to  meet  for  the  purpose  of  holding 
examinations  not  less  frequently  than  once  every  year,  and  at  such  times  and  places 
as  they  may  determine.  The  Board  shall,  from  time  to  time,  adopt  rule's  for  the 
examination  of  applicants  for  registration  in  accordance  with  the  provisions  of  this 
Act.  Said  examination  shall  include  the  subjects  of  elementary  anatomy,  physiol- 
ogy, medicine,  obstetrics,  gynecology,  surgery,  and  of  nursing,  dietetics,  and  home 
sanitation.  Notice  of  the  meetings  of  the  Board  shall  be  given  to  the  public  press 
and  to  at  least  one  journal  devoted  to  the  interest  of  professional  nursing,  and  by 
mail  to  every  applicant  and  to  every  reputable  training-school  in  Oregon  at  least 
thirty  (30)  days  prior  to  the  meeting.  At  such  meetings  it  shall  be  the  duty  of  the 
Board  to  examine  all  such  applicants  for  registration  under  this  Act,  as  are  required 
to  be  examined,  and  to  issue  to  each  duly  qualified  applicant,  who  shall  have  com- 
plied with  the  pertinent  provisions  of  this  Act,  the  certificate  provided  for  hi  this  Act. 
Any  person  to  whom  a  certificate  of  registration  shall  be  issued  shall,  within  thirty 
(30)  days  thereafter,  cause  the  same  to  be  recorded  with  the  county  clerk  of  the 
county  in  which  such  person  resided  at  the  time  of  application.  Such  persons  shall 
be  prepared  whenever  requested  to  exhibit  such  certificate  of  registration,  or  a 
certified  copy  thereof,  to  the  county  clerk  within  thirty  (30)  days  of  the  time  of 
establishing  new  residence.  All  applicants  for  registration  shall  furnish  satisfactory 
evidence  that  he  or  she  is  twenty-one  (21)  years  of  age,  of  good  moral  character, 
and  has  been  graduated  from  a  training-school  for  nurses,  connected  with  a  gen- 
eral hospital  approved  by  the  Board,  where  a  systematic  course  of  at  least  two  (2) 
years'  instruction  is  given. 

SEC.  4.  On  compliance  with  the  pertinent  provisions  of  this  Act,  nurses  other- 
wise qualified  shall  be  entitled,  upon  the  payment  of  ten  ($10.00)  dollars,  to  regis- 
tration as  follows: 

1.  Without  examination,  provided  they  make  application  prior  to  July  i,  1913. 

(a)  Nurses  who  have  been  graduated  before  said  date  and  after  January  i,  1890, 
from  a  reputable  training-school  connected  with  a  general  hospital,  who  at  the  time 
of  the  graduation  shall  have  received  a  course  of  at  least  two  (2)  years  in  such  train- 
ing-school; 

(b)  Nurses  now  hi  training  in  a  reputable  training-school  connected  with  a 
general  hospital,  which  now  gives  a  course  of  at  least  two  (2)  years'  training  and 
who  shall  graduate  therefrom. 

2.  Nurses  who  shall  make  application  on  or  before  July  i,  1913,  and  who,  at 
the  time  of  application,  shall  have  graduated  from  a  reputable  training-school 
connected  with  a  general  hospital  requiring  a  systematic  course  of  at  least  two  (2) 
or  more  years'  training. 

3.  Nurses  who  shall  make  application  on  or  before  January  i,  1914,  and  who,  at 
the  time  of  application,  shall  have  been  graduated  from  a  reputable  training-school 


FULL   TEXT    OF    LAWS  121 

connected  with  a  special  hospital  requiring  a  systematic  course  of  at  least  two  (2) 
years'  training,  and  who  at  the  time  of  application  shall  have  obtained,  in  a  repu- 
table general  hospital,  one  year's  additional  training  in  subjects  not  adequately 
taught  in  the  training-school  from  which  they  were  graduated,  and  shall  pass  an 
examination  to  determine  their  fitness  and  ability  to  give  efficient  care  to  the  sick. 

4.  On  and  after  July  i,  1913,  all  applicants  for  certificates  of  registration  under 
the  provisions  of  this  Act  shall  pass  the  examination  as  required  by  the  Board  be- 
fore receiving  the  certificate  of  registration,  providing  the  applicants  fulfil  all  other 
requirements  specified  herein. 

SEC.  5.  It  shall  be  unlawful  hereafter  for  any  person  to  practice,  or  attempt 
to  practice,  in  this  State,  as  a  registered  nurse,  without  a  certificate  from  the  Board. 
Any  person  who  has  received  such  a  certificate  shall  be  styled  and  known  as  a 
registered  nurse,  and  shall  be  entitled  to  append  the  letters  "R.  N."  to  the  name 
of  such  person.  No  other  person  shall  assume  to  use  such  title,  or  the  abbreviation 
"R.  N.,"  or  any  other  words,  letters,  or  figures  to  indicate  that  such  person  is  a 
registered  nurse. 

SEC.  6.  This  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  nor  to  any  person  nursing 
the  sick  for  hire,  who  does  not  in  any  way  assume  or  pretend  to  be  a  registered 
nurse,  and  this  Act  shall  not  be  construed  to  interfere  in  any  way  with  members  of 
religious  communities  or  orders  which  have  charge  of  hospitals,  or  take  care  of  the 
sick  hi  their  own  homes,  provided  such  members  do  not  in  any  way  assume  to  be 
registered  nurses. 

SEC.  7.  The  Board,  upon  written  application,  and  upon  the  receipt  of  ten 
($10.00)  dollars  as  registration  fee,  may  issue  a  certificate  without  examination  to 
those  who  shall  have  been  registered  as  registered  nurses,  under  the  law  of  another 
State  having  the  requirements  equivalent  to  those  of  Oregon;  provided,  that  the 
Board  shall  be  sole  judge  of  credentials  of  any  nurse  admitted  to  registration  with- 
out examination. 

SEC.  8.  Any  person  violating  any  of  the  provisions  of  this  Act  shall  be  guilty 
of  a  misdemeanor,  and  shall,  upon  conviction,  be  fined  for  the  offense  not  less  than 
ten  ($10.00)  dollars,  nor  more  than  one  hundred  ($100.00)  dollars  for  the  first  offense, 
and  not  less  than  one  hundred  ($100.00)  dollars  nor  more  than  five  hundred  ($500.00) 
dollars  for  each  subsequent  offense.  Any  person  who  shall  wilfully  make  any  false 
representation  to  the  Board  in  applying  for  a  license  shall  be  guilty  of  a  misdemeanor 
and,  upon  conviction,  shall  be  fined  in  a  sum  not  less  than  one  hundred  ($100.00) 
dollars  nor  more  than  two  hundred  ($200.00)  dollars.  All  certificates  issued  by 
the  Board  shall  be  signed  by  all  the  members  thereof,  and  shall  be  attested  by  the 
president  and  secretary. 

SEC.  9.  The  Board  may  revoke  any  certificate  by  unanimous  vote  for  dishon- 
esty, gross  incompetence,  a  habit  rendering  a  nurse  unsafe  to  be  entrusted  with  or 
unfit  for  the  care  of  the  sick,  conduct  derogatory  to  the  morals  or  standing  of  the 
profession  of  nursing,  any  wilful  fraud  or  misrepresentation  practised  in  procuring 
such  certificates,  provided  the  holder  of  such  certificate  shall  have  been  given  at 
least  thirty  (30)  days'  notice  in  writing  of  the  specific  charge  against  such  holder, 
and  of  the  time  and  place  of  hearing  the  charge  by  the  Board,  at  which  time  and 
place  the  holder  shall  be  entitled  to  be  heard  and  to  be  represented  by  counsel. 
Upon  the  revocation  of  any  certificate  the  same  shall  be  null  and  void.  The  holder 
thereof  shall  cease  to  be  entitled  to  any  of  the  privileges  conferred  by  such  certifi- 
cate, and  it  shall  be  the  duty  of  the  secretary  of  the  Board  to  strike  the  name  of 
the  holder  thereof  from  the  roll  of  registered  nurses,  to  secure  and  cancel  the  cer- 
tificate, and  to  give  notice  of  such  revocation  to  the  county  clerk  in  whose  office 
such  certificate  is  recorded,  and  thereupon  such  county  clerk  shall  note  the  fact 
of  such  revocation  upon  the  record  of  such  certificate. 


122  STATE  REGISTRATION   FOR   NURSES 

PENNSYLVANIA 

AN  ACT 

To  provide  for  Stale  registration  of  nurses,  to  establish  a  State  Board  of  Examiners  in 
connection  therewith,  and  to  provide  penalties  for  the  violation  of  certain  provisions 
regarding  such  registration  in  the  State  of  Pennsylvania. 

Whereas,  The  safety  of  the  public  is  endangered  by  insufficiently  trained  and 
incompetent  nurses,  in  the  absence  of  a  law  for  the  registration  of  those  possessing 
the  proper  qualifications;  now,  therefore, — 

SECTION  i.  Be  it  enacted,  etc.,  That  within  sixty  days  after  the  passage  of  this 
act,  the  Governor  shall  appoint  a  State  Board  of  Examiners  for  Registration  of 
Nurses,  composed  of  five  members:  three  of  said  members  shall  be  physicians,  two 
of  whom  shall  be  connected  in  an  official  capacity  with  public  hospitals  where  nurses' 
training-schools  are  maintained,  and  all  of  whom  shall  have  practised  their  profession 
in  the  State  of  Pennsylvania  for  at  least  five  years  immediately  preceding  the  time 
of  their  appointment;  and  the  remaining  two  members  shall  be  nurses,  graduated 
from  training-schools  connected  with  hospitals  where  practical  and  theoretic 
instruction  is  given  in  general  surgical  and  medical  nursing,  and  who  shall  have  been 
engaged  in  nursing  for  at  least  five  years  since  graduation. 

SEC.  2.  The  Governor  shall  appoint  the  original  members  of  said  board,  one 
for  one  year,  one  for  two  years,  one  for  three  years,  one  for  four  years,  and  one  for 
five  years;  and  upon  the  expiration  of  the  term  of  office  of  any  member,  the  Gover- 
nor shall  likewise  appoint  persons,  with  the  above  specified  qualifications,  to  fill  the 
vacancy  for  a  term  of  five  years  and  until  a  successor  is  chosen.  The  unexpired 
term  of  any  member,  caused  by  death,  resignation,  or  otherwise,  shall  be  filled  by 
the  Governor  in  the  same  manner  as  an  original  appointment.  The  Governor  may 
remove  any  member  for  neglect  of  duty,  incompetence,  or  dishonorable  or  unpro- 
fessional conduct. 

SEC.  3.  The  said  board  as  soon  as  appointed,  and  annually  thereafter,  on  a 
date  to  be  fixed  by  the  by-laws,  shall  meet  for  organization,  and  shall  also  hold  other 
meetings  by  call  of  the  secretary,  upon  written  request  of  two  members,  or  under 
such  circumstances  as  may  be  prescribed  by  the  by-laws.  Three  members  shall 
always  constitute  a  quorum.  At  such  organization  meeting  the  board  shall 
elect  from  its  members  a  president  and  a  secretary;  the  secretary  shall  act  as 
treasurer. 

The  said  officers  shall  be  elected  for  a  term  of  one  year  and  until  their  successors 
are  duly  chosen,  and  all  vacancies  arising  in  said  offices  shall  be  filled  by  the  board, 
in  like  manner,  for  the  unexpired  term.  The  board  shall  adopt  a  seal,  and  shall 
establish  by-laws  and  regulations  for  its  own  government  and  for  the  execution  of 
the  provisions  of  this  act.  The  secretary  shall  keep  a  record  of  all  proceedings  of 
the  board,  and  also  a  register  of  all  nurses  registered  under  this  act.  which  register 
shall  at  all  reasonable  times  be  open  for  public  inspection. 

SEC.  4.  The  secretary,  immediately  upon  the  registration  of  every  nurse,  shall 
file  in  the  office  of  the  Secretary  of  the  Commonwealth,  under  the  seal  of  the  said 
Board  of  Examiners,  an  exact  counterpart  of  the  certificate  issued  to  the  holder 
thereof,  and  said  counterparts  shall  be  filed  and  indexed  in  the  office  of  the  Secretary 
of  the  Commonwealth,  and  kept  by  him  for  public  inspection  and  information. 
If  the  secretary  of  the  board  neglect  to  file  said  counterpart,  as  aforesaid,  for  more 
than  twenty  days  from  the  date  of  issue  of  the  corresponding  certificate,  unless  pre- 
vented therefrom  by  sickness  or  other  unavoidable  inability,  the  said  secretary  shall 
be  held  guilty  of  a  breach  of  duty,  and  shall  forfeit  his  or  her  membership  and  his 
or  her  offices  in  the  said  Board  of  Examiners. 

SEC.  5.    The  secretary  of  the  board  shall  receive  a  salary  not  to  exceed  one 


FULL   TEXT   OF   LAWS  123 

hundred  dollars  ($100.00)  a  year.  All  members  of  the  board  shall  receive  five  dollars 
($5.00)  a  day  for  each  day  actually  engaged  in  the  transaction  of  official  business, 
together  with  all  actual  expenses  incurred,  as  aforesaid.  All  expenditures  of  the 
said  board  shall  be  paid  from  the  fees  received  thereby  under  the  provisions  of  this 
act,  and  said  expenditures  shall  hi  no  case  be  paid  from  the  State  Treasury.  The 
treasurer  of  the  Board  shall  give  bond,  in  such  sum  as  may  be  fixed  by  the  by-laws, 
which  bond  shall  be  subject  to  the  approval  of  the  State  Treasurer.  The  said 
treasurer  shall  pay  the  necessary  and  current  expenses  of  the  board,  and  may  retain 
in  the  treasury  a  sum  not  exceeding  one  thousand  dollars  ($1000.00)  to  defray  the 
ordinary  expenditures;  but  all  moneys  exceeding  the  said  sum  of  one  thousand 
dollars  ($1000.00)  shall  be  paid  by  the  treasurer  of  the  board  to  the  State  Treasury. 
The  said  board  shall  have  no  power  to  fix  prices,  or  in  any  way  control  the  compen- 
sation received  by  the  registered  nurse. 

SEC.  6.  As  soon  as  appointed,  in  the  year  1909,  and  subsequently  at  least  once 
every  year,  at  a  time  and  place  to  be  prescribed  by  said  by-laws,  the  said  board  shall 
meet  for  the  purpose  of  examining  applicants  for  registration  under  the  provisions 
of  this  act.  Notice  of  such  meetings  shall  be  given  in  the  public  press  and  in  one 
or  more  nursing  journals,  at  least  one  month  prior  to  each  meeting,  hi  a  manner  to 
be  prescribed  by  said  by-laws.  At  said  meetings  the  board  shall  examine  all  ap- 
plicants for  registration,  to  determine  their  qualifications  for  the  efficient  nursing 
of  the  sick;  said  examination  to  be  conducted  in  accordance  with  provisions  of  this 
act  and  with  the  by-laws  and  regulations  of  the  board.  Any  applicant  who  shall 
pass  said  examination  to  the  satisfaction  of  the  board  shall  receive  therefrom  a  cer- 
tificate of  registration,  signed  by  the  president  and  secretary  of  the  board,  or  by  at 
least  three  members  thereof. 

SEC.  7.  No  application  for  registration  shall  be  considered  unless  accompanied 
by  a  fee  of  five  dollars  ($5.00).  Every  applicant  to  be  eligible  for  examination  must 
furnish  evidence,  satisfactory  to  the  board,  that  he  or  she  is  twenty-one  years  of 
age  or  over,  is  of  good  moral  character,  and  has  graduated  from  a  training-school  for 
nurses  which  gives  at  least  a  two  years'  course  of  instruction,  or  has  received  in- 
struction in  different  training-schools  or  hospitals  for  periods  of  tune  amounting  to 
at  least  a  two  years'  course,  as  aforesaid,  and  then  graduated,  and  that  such  appli- 
cant, during  said  period  of  at  least  two  years,  has  received  practical  and  theoretic 
training  in  surgical  and  medical  nursing. 

SEC.  8.  Any  person,  with  the  above  qualifications  regarding  age  and  character, 
applying  for  registration  before  June  i,  1912,  who  shall  show  to  the  satisfaction  of 
the  Board  that  he  or  she  has  graduated  from  a  reputable  hospital  or  sanitarium  or 
training-school,  where  a  systematic  course  of  practical  instruction  in  nursing  has 
been  given,  or  that  he  or  she  was,  at  the  passage  of  this  Act,  a  student  in  such  an 
institution,  and  afterward  graduated  therefrom,  shall  be  entitled  to  registration 
without  examination  upon  payment  of  the  fee  of  five  dollars  ($5.00). 

SEC.  9.  Every  nurse  who  shall  receive  a  certificate  of  registration,  under  the  pro- 
visions of  this  act,  shall  be  entitled  to  be  styled  and  known  as  a  "Registered  Nurse," 
and  it  shall  be  unlawful  for  any  other  person  to  use  said  title,  or  any  equivalent 
thereof.  But  this  act  shall  not  be  construed  so  as  to  affect  hi  any  way  the  right 
of  any  person  to  nurse  gratuitously  or  for  hire,  the  purpose  of  this  legislation  being 
to  secure  the  registration  to  those  nurses  only  who  are  properly  qualified  therefor. 
Nor  shall  anything  herein  contained  be  considered  as  conferring  any  authority  to 
practice  medicine,  or  to  undertake  the  treatment  and  cure  of  disease  in  violation 
of  the  laws  of  the  Commonwealth. 

SEC.  10.  After  one  year  from  the  passage  of  this  act,  it  shall  be  unlawful  for 
any  person,  without  said  certificate  of  registration,  to  profess  to  be  a  registered 
nurse,  or  assume  said  title,  or  to  use  the  abbreviation  R.  N.,  or  any  other  letters 
or  figures  indicative  of  his  or  her  being  a  registered  nurse.  Every  person  who  shall 
violate  any  of  the  provisions  of  this  section,  or  who  shall  wilfully  make  false  repre- 
sentations to  the  said  Board  in  applying  for  registration  as  aforesaid,  shall  be  guilty 


124  STATE   REGISTRATION   FOR  NURSES 

of  a  misdemeanor,  and,  upon  conviction  thereof,  shall  be  sentenced  to  pay  a  fine  of 
not  less  than  fifty  dollars  ($50.00)  nor  more  than  two  hundred  dollars  ($200.00)  for 
each  offense,  and  shall  be  disqualified  for  applying  for  registration  for  the  period  of 
five  years  from  the  commission  of  the  offense.  The  said  board  may  institute  and 
assist  in  any  prosecutions  under  the  provisions  of  this  Act,  and  may  use  the  funds 
in  the  treasury  of  the  board  in  connection  with  such  proceedings. 

SEC.  n.  The  said  board  may  revoke  any  certificate  of  registration  for  suffi- 
cient cause,  in  accordance  with  the  by-laws  and  regulations  of  the  board,  and  the 
secretary  shall  cause  the  name  of  the  holder  of  such  certificate  to  be  stricken  from 
the  roll  of  registered  nurses  in  his  or  her  own  possession  and  in  that  of  the  Secretary 
of  the  Commonwealth.  But  such  revocation  shall  only  be  by  unanimous  vote  of  the 
members  of  the  board,  after  a  full  and  fair  hearing  before  the  board,  upon  the 
question  of  revocation,  and  after  thirty  days'  notice  of  the  time  and  place  of  said 
hearing,  and  a  copy  of  the  charges  preferred  have  been  given  to  the  holder  of  the 
certificate. 


STATE  OF  RHODE  ISLAND  AND  PROVIDENCE  PLANTATIONS 

AN  ACT  TO  PROVIDE   FOR  STATE   REGISTRATION   OF  NTJRSES 

//  is  enacted  by  the  General  Assembly  as  follows: 

SECTION  i.  There  shall  be  a  board  of  examiners  of  trained  nurses,  consisting 
of  five  members,  three  of  whom  shall  be  graduate  nurses  and  two  physicians. 
One  of  the  physicians  shall  be  connected  with  some  approved  hospital  in  this  State 
maintaining  a  training-school  for  nurses.  At  the  January  session  of  the  General 
Assembly,  A.  D.  1912,  the  governor,  with  the  advice  and  consent  of  the  senate,  shall 
appoint  said  five  members  of  said  board  to  hold  office,  as  designated  by  him,  until 
the  first  day  of  February  in  the  first,  second,  third,  fourth,  and  fifth  years  after  their 
respective  appointments.  At  the  January  session  of  the  General  Assembly,  A.  D. 
1913,  and  at  each  January  session  thereafter,  the  governor  shall  so  appoint  one 
member  of  said  board  to  hold  office  until  the  first  day  of  February  in  the  fifth  year 
after  the  appointment.  Any  vacancy  which  may  occur  or  exist  in  said  board  while 
the  senate  is  in  session  shall  be  so  filled  by  the  governor  for  the  remainder  of  the 
term,  and  any  vacancy  which  may  occur  in  said  board  while  the  senate  is  not  in 
session  shall  be  filled  by  the  governor  until  the  next  session  thereof,  when  he  shall 
so  appoint  some  person  to  fill  such  vacancy  for  the  remainder  of  the  term. 

SEC.  2.  The  members  of  said  board  shall,  within  thirty  days  after  their  appoint- 
ment in  1912  and  annually  in  the  month  of  February  thereafter,  elect  from  their 
number  a  president  and  a  secretary,  who  shall  also  be  the  treasurer  of  the  board. 
The  president  shall  certify  all  bills  audited  by  the  board.  The  secretary  shall 
keep  a  record  of  all  proceedings  of  the  board,  a  register,  in  form  to  be  prescribed 
by  the  board,  of  all  nurses  registered  under  this  act,  which  shall  be  opened  at  all 
reasonable  times  to  public  inspection;  issue  certificates  of  registration  to  all  nurses 
duly  registered  and  have  the  custody  of  the  seal  of  the  board.  The  secretary  shall 
receive  a  salary  to  be  fixed  by  the  board,  which  shall  not  exceed  one  hundred 
dollars  per  annum.  The  treasurer  shall  receive  all  moneys  payable  to  the  Board 
and  shall  pay  over  the  same  to  the  general  treasurer  at  least  once  in  three 
months. 

SEC.  3.  Said  board  may  adopt  by-laws  not  inconsistent  with  this  act  to  govern 
its  proceedings,  and  rules  and  regulations  for  the  examination  of  applicants  for 
registration,  and  shall  cause  the  same  to  be  printed  for  distribution  to  similar 
boards,  state  association  of  nurses,  and  to  such  applicants.  It  shall  meet  at  least 
twice  in  each  year  to  examine  such  applicants,  and  shall  give  notice  of  such  meetings 
by  publication  in  at  least  two  newspapers  and  in  at  least  one  journal  devoted  to  in- 
terest of  professional  nursing.  Special  meetings  shall  be  called  at  any  time  by  the 


FULL   TEXT    OF    LAWS  125 

secretary  upon  the  request  of  two  members  of  the  board.  Three  members  thereof 
shall  constitute  a  quorum  at  all  meetings.  Said  board  shall  cause  the  prosecution 
of  all  persons  violating  any  of  the  provisions  of  this  act,  and  may  incur  necessary 
expenses  in  so  doing.  It  may  adopt  a  design  for  a  pin  or  badge,  having  thereon  the 
letters  R.  N.,  to  be  worn  by  registered  nurses,  and  it  shall  be  unlawful  for  any 
other  person  to  wear  such  pin  or  badge  or  a  colorable  imitation  thereof.  Said 
Board  shall  have  an  office  in  the  state  house;  shall  adopt  a  seal,  of  which  its  secre- 
tary shall  be  the  custodian,  and  which  shall  be  impressed  upon  all  certificates  issued 
to  registered  nurses,  and  shall  adopt  a  form  of  certificate  of  registration  to  be 
issued  to  nurses.  It  shall  determine  what  hospitals  and  what  training-schools  for 
nurses  furnish  a  course  of  instruction  sufficient  to  qualify  their  pupils  for  registra- 
tion under  this  act  without  examination,  and  shall  approve  such  as  in  its  opinion 
furnish  such  instruction.  The  members  of  said  board,  excepting  the  secretary, 
shall  each  receive  the  sum  of  two  dollars  for  every  day  employed  in  the  work 
of  the  board,  and  all  members  shall  be  paid  their  necessary  traveling  and  other 
expenses  while  so  employed.  The  state  auditor  shall  draw  his  orders  upon  the  gen- 
eral treasurer  for  the  payment  of  all  bills  authorized  to  be  incurred  by  said  Board 
out  of  any  moneys  in  the  treasury  not  otherwise  appropriated,  upon  the  receipt 
of  proper  vouchers  therefor  duly  certified  by  its  president. 

SEC.  4.  Persons  desiring  to  become  registered  nurses  shall  make  application  in 
writing  to  said  board  for  examination  and  registration,  stating  their  qualifications 
and  the  training-school  which  they  attended  and  the  length  of  their  course  of  tram- 
ing.  Said  board  shall  examine  all  of  such  applicants  as  are  required  by  this  act 
to  pass  an  examination,  in  the  elements  of  anatomy  and  physiology,  materia  medica, 
in  medical,  surgical,  obstetrical,  and  practical  nursing,  invalid  cookery,  and  house- 
hold hygiene,  and  shall  require  of  those  not  obliged  to  pass  such  examinations  evi- 
dence satisfactory  to  it  of  their  possession  of  the  qualifications  specified  herein. 
If  the  result  of  such  examination,  or  evidence  produced,  is  satisfactory  to  a  majority 
of  said  board,  the  applicant,  upon  order  of  said  board  and  payment  of  a  fee  of  five 
dollars,  shall  be  registered  as  herein  provided,  and  shall  receive  a  certificate  of 
such  registration  signed  by  the  president  and  secretary,  and  shall  be  entitled  to 
practice  professional  nursing  in  this  state. 

SEC.  5.  Applicants  for  examination  and  registration  must  be  residents  of  this 
state,  or  practising  their  profession  in  this  state,  or  graduates  of  approved  training- 
schools  in  this  state  or  registered  in  another  state  which  has  substantially  like 
requirements  for  registration  as  this  state,  of  good  moral  character,  at  least  twenty- 
one  years  of  age,  and  must  have  received  such  preliminary  education  as  may  be 
determined  by  said  board.  Of  such  applicants,  the  following  shall  be  entitled  to 
registration  without  examination  upon  application  made  before  January  first, 
1913: 

1.  All  graduates  of  approved  training-schools  connected  with  any  general, 
private,  or  special  hospital  in  which  at  least  two  years  of  training  is  required. 

2.  All  graduates  of  approved  training-schools  connected  with  any  general,  pri- 
vate, or  special  hospital  in  which  previous  to  1904  at  least  fifteen  months  of  training 
was  required. 

After  January  first  an  examination  shall  be  required  of  every  person  desiring  to 
practice  as  a  registered  nurse,  and  applicants  for  examination  and  registration  shall 
be  either: 

1.  Graduates  of  approved  training-schools,  connected  with  general  hospitals  in 
which  at  least  three  years  of  training  in  systematic  courses  of  instruction  is  required, 
or, 

2.  Graduates  of  approved  training-schools,  connected  with  private  or  special 
hospitals  in  which  at  least  two  years  of  such  training  and  instruction  is  required 
and  who  have  received  one  year  of  additional  training  in  one  or  more  other  hospitals, 
or  an  equivalent  of  nine  months  of  training  in  an  approved  general  hospital  and  three 
months  in  an  approved  special  hospital. 


126  STATE   REGISTRATION   FOR   NURSES 

SEC.  6.  "Approved,"  as  used  in  this  act,  shall  mean  approved  by  said 
board. 

SEC.  7.  Any  person  who  is  the  holder  of  a  certificate  in  accordance  with  the 
provisions  of  this  act  shall  be  known  as  a  registered  nurse,  and  it  shall  be  unlawful 
after  January  i,  1913,  for  any  person  not  holding  such  a  certificate  to  practice 
professional  nursing  of  the  sick  for  compensation  as  a  registered  nurse,  or  to  adver- 
tise as,  or  assume  the  title  of,  registered  nurse,  or  to  use  the  letters  as  R.  N., 
or  any  words  or  letters  to  indicate  or  cause  the  public  to  believe  that  the  person 
using  the  same  is  a  registered  nurse. 

SEC.  8.  Said  board  may  revoke  the  certificate  and  annul  the  registration  of  any 
nurse  for  gross  incompetency,  dishonesty,  habitual  intemperance,  or  any  habit  or 
act  derogatory  to  the  morals  or  standing  of  the  profession  of  nursing.  Before  taking 
such  action  it  shall  give  at  least  thirty  days'  notice  to  the  holder  of  such  certificate 
of  the  charges  against  such  nurse  and  of  the  time  and  place  at  which  it  will  consider 
and  act  upon  the  same,  at  which  said  nurse  shall  be  entitled  to  be  present  and  to  be 
heard.  Upon  the  revocation  of  any  certificate  the  holder  thereof  shall  surrender 
the  same  to  the  board,  and  the  secretary  shall  strike  the  name  of  the  holder  from 
the  register  of  nurses. 

SEC.  9.  This  act  shall  not  be  construed  to  affect  or  apply  to  or  to  prevent  the 
gratuitous  nursing  of  the  sick  by  friends  or  members  of  the  family,  or  to  any  per- 
sons nursing  the  sick  for  hire,  who  does  not  in  any  way  advertise,  assume,  or  claim 
to  be  a  registered  nurse,  or  to  registered  or  graduated  nurses,  residents  of  other 
states,  who  visit  this  state  as  companions  or  nurses  for  residents  of  other  states 
temporarily  sojourning  here,  or  who  are  called  to  attend  cases  in  this  state  by  resi- 
dent registered  physicians. 

SEC.  10.  Any  person  who  shall  wilfully  make  any  false  representation  to  said 
board  in  applying  for  registration,  or  during  examination  by  said  board,  shall  upon 
conviction  thereof  be  fined  not  less  than  one  hundred  dollars  or  more  than  five 
hundred  dollars. 

SEC.  1 1 .  Any  person  violating  any  of  the  provisions  of  this  act  shall  upon  con- 
viction thereof  be  fined  not  less  than  fifty  dollars  nor  more  than  two  hundred 
dollars. 

SEC.  12.  All  acts  and  parts  of  acts  inconsistent  herewith  are  hereby  repealed, 
and  this  act  shall  take  effect  upon  its  passage. 

SOUTH  CAROLINA 

SECTION  i.  Be  it  enacted  by  the  General  Assembly  of  the  State  of  South  Carolina: 
That  the  State  Board  of  Medical  Examiners  of  this  State  at  their  regular  annual 
meetings  hereafter,  and  at  such  special  meetings  as  the  said  Board  may  deem  proper 
and  necessary  for  such  purpose,  shall,  in  addition  to  their  present  duties,  examine 
all  applicants  for  registration  under  the  provisions  of  this  Act,  for  the  purpose  of 
determining  their  qualifications  and  fitness  to  give  efficient  care  to  the  sick,  and  shall 
award  a  certificate,  duly  attested  by  the  secretary  of  said  Board  and  signed  by  the 
chairman  thereof,  to  all  applicants  who  pass  in  a  satisfactory  manner  the  examina- 
tion required  by  the  said  Board  and  who  are  registered  as  herein  required.  That 
each  applicant  for  examination  under  this  Act  shall  forward  with  his  or  her  appli- 
cation a  fee  of  Two  ($2.00)  Dollars,  which  shall  be  deposited  with  the  treasurer  of 
said  Board  and  used  as  now  prescribed  by  law. 

SEC.  2.  That  on  and  after  January  i,  1911,  it  shall  be  unlawful  for  any  person 
to  practice  or  pursue  the  calling  of  a  professional  nurse  in  this  State  for  compensation, 
unless  such  person  shall  have  furnished  to  the  said  State  Board  of  Medical  Exam- 
iners satisfactory  evidence,  of  such  nature  and  in  such  form  and  manner  as  said 
Board  shall  require,  that  he  or  she  is  twenty-one  years  of  age,  of  good  moral  charac- 
ter, has  received  the  equivalent  of  a  common  school  education,  and  has  graduated 


FULL   TEXT   OF   LAWS  127 

from  a  training-school  connected  with  a  general  hospital,  where  at  least  two  years 
of  continuous  residence  training  with  a  systematic  course  of  instruction  is  given, 
and  has  passed  a  satisfactory  examination  before  said  Board  and  registered  as 
hereinafter  required  by  the  provisions  of  this  Act:  Provided,  That  this  Section  shall 
not  be  construed  to  apply  to  those  who  may  be  registered  prior  to  January  i,  1911, 
in  accordance  with  the  provisions  of  this  Act  applicable  to  such  persons  as  herein- 
after declared  in  Sections  3  and  4:  Provided,  further,  That  this  Section  shall  not  ap- 
ply, at  any  time,  to  the  gratuitous  nursing  of  the  sick  by  friends  or  members  of  the 
family  thereof,  nor  to  those  persons  nursing  the  sick  for  hire  who  do  not  in  any  way 
claim  or  assume  to  be,  or  hold  themselves  out  as,  registered  nurses.  Provided, 
further,  That  nothing  in  this  Act  shall  be  construed  so  as  to  prevent  a  professional 
nurse,  who  does  not  hold  such  a  certificate  from  said  Board  and  who  resides  in 
another  State,  from  accompanying  and  attending  a  person  traveling  in  or  through 
this  State,  or  sojourning  therein  for  his  or  her  health,  or  any  non-resident  nurse 
without  such  certificate  from  serving  any  person  in  this  State  in  case  of  necessity  or 
emergency,  where  such  nurse  is  authorized  and  empowered  to  practice  his  or  her 
profession  under  the  law  of  the  State  in  which  he  or  she  resides,  and  if  there  be  no 
such  law  when  such  nurse  has  received  the  training  required  in  this  Act  as  a  pre- 
requisite to  examination  and  registration  by  said  Board  of  Examiners  after  January 
i,  1911. 

SEC.  3.  That  all  nurses  heretofore  graduated,  or  hereafter  graduated  before 
January  i,  1911,  from  such  general  hospital,  and  otherwise  possessing  the  qualifi- 
cations prescribed  in  this  Act,  shall  be  permitted  to  register  and  receive  a  certifi- 
cate without  an  examination  upon  application  duly  made  and  upon  payment  of 
the  prescribed  fee,  provided  that  such  application  be  made  before  January  i, 
1911. 

SEC.  4.  That  all  nurses  graduating  from  training-schools  in  connection  with 
special  hospitals  whose  standing  and  reputation  shall  be  approved  by  the  said 
Board,  giving  a  two  years'  course,  who  shall  obtain  six  months'  additional  training 
in  general  hospital,  shall  be  entitled  to  registration  and  a  certificate  without  exami- 
nation before  January  i,  1911,  upon  payment  of  required  fee;  and  all  nurses  gradu- 
ating from  such  special  hospitals  shall  be  entitled  to  registration  and  a  certificate 
prior  to  said  date,  upon  passing  a  special  examination  before  the  Board  of  Examin- 
ers in  subjects  not  adequately  taught  in  the  training-school  from  which  they  are 
graduated,  upon  payment  of  the  required  fee. 

SEC.  5.  That  a  nurse  who  has  received  his  or  her  certificate  according  to  the 
provisions  of  this  Act  shall  be  styled  and  known  as  a  "Registered  Nurse,"  and  no 
other  person  without  a  certificate  from  the  said  Board  of  Examiners  shall  assume 
such  a  title  or  use  the  abbreviation  "R.  N.,"  or  any  other  letters,  figures,  or  charac- 
ters to  indicate  that  he  or  she  is  a  registered  nurse. 

SEC.  6.  That  said  Board  of  Examiners  shall  prescribe  and  have  printed  appli- 
cation blanks  and  such  other  forms  as  may  be  necessary  to  carry  out  the  provisions 
of  this  Act,  which  shall  be  furnished  to  any  applicant  upon  request  and  free  of  charge. 
Said  Board  shall  also  keep  a  register,  in  which  shall  be  entered  the  full  name,  age, 
residence,  source  of  training,  and  date  of  registration  of  every  person  to  whom  a 
certificate  is  issued  under  the  provisions  of  this  Act,  and  said  register  shall  be  at  all 
times  open  to  public  inspection,  and  be  prima  facie  evidence  of  all  matters  therein 
contained.  It  shall  also  be  the  duty  of  the  Board  to  keep  the  application  of  each 
applicant,  together  with  any  additional  evidence  which  shall  be  required  by  the 
Board  to  be  offered  in  support  of  the  qualifications  of  said  applicant,  which  shall 
also  be  open  to  public  inspection. 

SEC.  7.  The  said  Board  of  Examiners  may  revoke  any  certificate  issued  under 
this  Act  for  sufficient  cause,  of  which  the  Board  shall  be  the  judges;  but  before  this 
is  done  the  holder  of  said  certificate  shall  have  thirty  days'  notice,  and  such  action 
shall  only  be  taken  after  a  full  and  fair  hearing  of  the  charge,  in  which  counsel 
may  appear  for  either  or  both  sides,  and  only  by  a  majority  vote  of  the  whole 


128  STATE   REGISTRATION  FOR   NURSES 

Board :  Provided,  That  from  such  judgment  of  revocation  of  license  the  person  feel- 
ing himself  or  herself  aggrieved  shall  have  the  right  to  appeal  to  the  Circuit  Court  of 
the  County  in  which  he  or  she  resides,  and  to  the  Supreme  Court. 

SEC.  8.  That  any  person  violating  any  of  the  provisions  of  this  Act,  or  who  shall 
wilfully  make  any  false  representations  to  the  Board  of  Examiners  in  applying 
for  a  certificate,  or  otherwise  violating  the  provisions  hereof,  shall  be  guilty  of  a 
misdemeanor,  and  upon  conviction  thereof  be  punished  by  a  fine  not  exceeding 
Two  Hundred  ($200.00)  Dollars  or  imprisonment  not  exceeding  three  (3)  months, 
or  both  in  the  discretion  of  the  court. 

SEC.  9.  That  all  Acts  and  parts  of  Acts  inconsistent  herewith  be  and  the  same 
are  hereby  repealed. 

TENNESSEE 

AN  ACT  to  regulate  the  practice  of  trained  nursing  in  this  State,  to  define  offenses  against 
the  Act,  and  to  prescribe  and  fix  the  punishment  for  such  offenses. 

SECTION  i.  Be  it  enacted  by  the  General  Assembly  of  the  State  of  Tennessee: 
That  every  person  who  shall  comply  with  the  provisions  of  this  Act,  to  obtain  and 
have  recorded  as  herein  prescribed,  the  certificate  authorizing  such  person  to  prac- 
tice the  profession  of  a  trained  nurse  in  this  State,  shall  be  a  registered  nurse  within 
the  meaning  of  this  Act,  and  entitled  to  all  its  privileges  and  charged  with  all  of  the 
duties  herein  imposed  upon  such  nurse. 

SEC.  2.  Be  it  further  enacted:  That  within  thirty  (30)  days  from  the  passage  of 
this  Act  the  Governor  of  the  State  shall  appoint  a  board  known  as  "State  Board  of 
Examiners  of  Nurses,"  which  Board  shall  consist  of  five  graduate  nurses,  one  of 
whom  shall  reside  in  West  Tennessee,  one  in  Middle  Tennessee,  and  one  in  East 
Tennessee,  and  the  Governor  shall  not  appoint  as  a  member  of  such  Board  a  nurse 
who  has  not  the  endorsement  of  the  society  of  Trained  Nurses  to  which  such  nurse 
belongs.  State  Board  of  Examiners  of  Nurses  shall  within  sixty  (60)  days  after  it  is 
appointed  meet  in  the  City  of  Nashville  and  organize  by  the  selection  of  one  of 
their  number  as  chairman  and  another  as  secretary.  The  members  of  this  Board 
shall  hold  their  respective  positions  as  such  for  five  years  and  until  their  successors 
are  appointed. 

Upon  the  expiration  of  their  terms  of  office,  it  will  be  the  duty  of  the  Governor 
to  appoint  a  new  Board  of  like  number  and  qualification,  but,  in  making  such  ap- 
pointment, he  shall  reappoint  at  least  two  of  the  then  members  of  the  said  Board,  it 
being  the  intention  of  this  Act  that  after  the  first  appointment  of  the  said  Board 
there  shall  always  be  on  the  said  Board  experienced  members  thereof,  and  that  the 
membership  of  said  Board  shall  no.t  be  often  changed. 

SEC.  3.  Be  it  further  enacted:  That  it  shall  be  the  duty  of  every  person  in  the 
State  desiring  to  practice  the  profession  of  a  trained  nurse  in  this  State,  within  sixty 
(60)  days  from  the  organization  of  the  State  Board  of  Examiners  of  Nurses,  to  ob- 
tain from  the  said  Board  a  certificate  as  required  in  the  next  section,  and  to  have  the 
same  recorded  by  the  clerk  of  the  county  court  of  the  county  in  which  said  nurses 
shall  reside. 

SEC.  4.  Be  it  further  enacted :  That  it  shall  be  the  duty  of  the  State  Board  of 
Examiners  of  Nurses,  upon  its  being  made  satisfactorily  to  appear  to  it  that  an  appli- 
cant is  a  person  of  good  moral  character,  of  legal  age,  and  is  the  holder  of  a  diploma 
from  a  training-school  of  nurses,  in  good  standing,  connected  with  a  hospital  or 
sanitarium  in  this  State,  which  gives  at  least  a  two  years'  course,  or  training-school 
of  like  standing  outside  of  this  State,  which  diploma  is  in  all  respects  regular,  to 
certify  that  fact  to  the  clerk  of  the  county  court  of  the  residence  of  the  applicant, 
who  shall  thereupon  receive  and  record  the  same  and  issue  to  the  said  applicant  a 
license,  as  follows: 


FULL   TEXT  OF   LAWS  129 

State  of  Tennessee 
County 

To  Whom  it  May  Concern:  Greeting. 

Whereas of has  presented  to  me  a 

certificate  issued  to by  the  State  Board  of  Examiners  of 

Nurses,  showing  that  she  (or  he)  has  complied  with  all  of  the  requirements  of  the 
law  entitling  applicants  to  such  Board  to  their  certificate,  and  demanded  that  the 
same  be  recorded  as  the  law  requires.  This  certifies  that  the  same  is  so  recorded  in 

the  book  kept  by  me  for  that  purpose,  and  that  the  said 

is  authorized  to  practice  within  this  State  the  profession  of  a  registered  nurse. 

Witness  my  hand  and  official  seal  at  office  in this 

day  of 19 .... 


Clerk  of  County  Court  of County,  Tennessee. 

For  issuing  this  license,  recording  the  same,  and  doing  all  the  other  duties  re- 
quired of  him  under  this  Act,  the  said  clerk  is  entitled  to  demand  and  receive  of 
the  licensee  the  sum  of  fifty  cents. 

The  said  clerk  shall  keep,  in  a  well-bound  book,  a  copy  of  the  license  issued 
to  each  applicant,  and  shall,  in  another  book,  keep  a  record  of  the  certificates  upon 
which  the  said  license  is  issued,  and  shall  also  preserve  the  certificate  as  one  of  the 
records  of  his  office. 

SEC.  5.  Be  it  further  enacted:  That  non-residents  of  the  State  may  procure 
a  certificate,  and  have  the  same  recorded,  and  procure  a  license  from  the  County 
Court  for  the  County  in  which  they  desire  to  practice  the  profession  of  trained  nurs- 
ing, by  producing  satisfactory  evidence  to  the  State  Board  of  Examiners  of  Nurses 
that  they,  or  such  applicant,  is  of  lawful  age,  of  good  moral  character,  and  that  he  or 
she  is  the  holder  of  a  diploma  from  a  recognized  training-school  for  the  training  of 
nurses,  whose  course  of  training  and  study  is  as  full  and  thorough  as  are  such  schools 
in  this  State,  whose  diplomas  entitle  the  applicant  to  be  considered  by  the  State 
Board  competent  of  holding  a  diploma  of  course  from  such  an  one  of  the  training- 
schools  of  the  State. 

The  license  to  be  issued  to  such  holders  of  certificates  is  to  be  in  like  form  as  for 
a  resident  holder,  and  will  authorize  the  licensee  to  practice  in  this  State. 

SEC.  6.  Be  it  further  enacted:  That  vacancies  shall  be  filled  in  the  said  Board 
by  the  remaining  members  of  the  Board,  and  the  members  appointed  to  fill  vacancies 
will  hold  only  until  the  expiration  of  the  term  of  the  member  who  is  thus  succeeded. 
Vacancies  will  occur  by  death,  removal  from  the  State,  or  resignation. 

SEC.  7.  Be  it  further  enaectd :  That  the  Secretary  of  the  Board  is  directed  to  keep 
a  record  of  the  proceedings  of  said  Board,  and  also  a  record  of  the  names  of  persons 
applying  for  registration  hereunder,  and  of  the  action  of  the  Board  thereon;  and 
also  a  register  of  all  nurses  who  have  become  entitled  to  certificates  under  this  Act, 
all  of  which  said  records  shall  at  all  reasonable  times  be  open  to  public  inspection. 
The  said  Record  of  Registry  of  Applicants  who  have  applied  to  and  been  examined 
by  the  Board  shall  show  the  full  name,  age,  color,  and  sex  of  the  applicant,  where 
born,  whether  married  or  single,  place  of  residence,  and  post-office  address;  where 
trained  or  graduated,  and  when,  and  the  names  and  residences  and  post-office 
addresses  of  two  persons  in  nowise  related  to  the  applicant,  who  bear  testimony  to 
the  applicant's  good  moral  character.  It  shall  also  contain  or  make  proper  refer- 
ence to  the  record  required  to  be  kept  by  Section  13  hereof,  whenever  any  such 
record  shall  be  made  with  respect  to  any  nurse. 

Said  Board  is  authorized  to  have  and  to  use  an  official  seal,  which  shall  bear  the 
words  "State  Board  of  Examiners  of  Nurses  for  Tennessee." 

The  certificate  of  the  Secretary  of  said  Board,  under  the  seal  thereof,  counter- 
signed or  attested  by  the  President,  as  to  the  action  or  non-action  of  the  Board, 

9 


130  STATE   REGISTRATION   FOR   NURSES 

shall  be  accepted  as  evidence  in  the  courts  of  this  State  as  the  best  evidence  of  the 
Minutes  of  the  said  Board;  and  likewise  the  certificate  of  the  said  Secretary,  under 
the  said  seal,  so  countersigned,  as  to  the  registration  or  non-registration  of  any  per- 
son, shall  be  accepted  as  the  best  evidence  as  to  the  registration  or  non-registration 
of  the  said  person  under  the  requirements  of  this  Act.  The  Secretary  shall  issue  to 
all  nurses  admitted  to  registration  here  under  a  certificate,  under  the  seal  of  said 
Board,  and  countersigned  by  the  President,  showing  that  fact. 

SEC.  8.  Be  it  further  enacted :  That  it  shall  be  the  duty  of  said  Board  to  meet 
for  the  purpose  of  examining  applicants  for  registration  at  least  once  in  each  year, 
in  every  one  of  the  grand  divisions  of  the  State,  and  oftener,  should  it  be  deemed 
necessary  by  said  Board. 

Notice  shall  be  given  of  the  time  and  place  of  said  meetings  by  written  notice 
posted,  postage  prepaid,  to  last  known  address  of  each  applicant,  at  least  ten  days 
before  the  time  of  said  meeting,  and  by  one  publication  in  a  daily  paper  of  general 
circulation  published  at  Knoxville,  Memphis,  and  Nashville,  Tennessee.  Said 
notice  shall  be  published  at  least  two  weeks  prior  to  said  meeting. 

SEC.  9.  Be  it  further  enacted:  That  all  persons  making  application  for  registra- 
tion under  this  Act  shall  deposit  with  the  secretary  of  the  said  Board,  at  the  tune  of 
making  such  application,  the  sum  of  Five  ($5.0x3)  Dollars.  From  this  fund  the 
expenses  of  the  said  Board  will  be  paid. 

SEC.  10.  Be  it  further  enacted:  That  all  nurses  who  have  practised  the  profession 
of  nursing  actively  and  continuously  for  five  (5)  years,  and  can  show,  to  the  satis- 
faction of  the  Board  their  ability  morally,  mentally,  and  physically  to  continue 
nursing,  will  be  granted  a  license  provided  they  make  application  before  June  ist, 
1911;  and — 

Be  it  further  enacted :  That  this  shall  apply  to  all  senior  pupils  now  in  the  Training- 
Schools  of  the  State  for  Nurses. 

SEC.  11.  Be  it  further  enacted:  That  this  Act  shall  not  be  construed  to  affect  or 
apply  to  gratuitous  nursing  of  the  sick  by  friends  or  members  of  the  family,  and  it 
shall  not  apply  to  any  person  nursing  for  hire,  who  does  not  in  any  way  assume 
to  be  a  registered  nurse,  and  who  does  not  use  the  title  Registered  Nurse,  or  the 
letters  "R.  N.,"  or  other  letters,  words,  or  figures  for  the  purpose  of  representing 
that  he  or  she  is  a  registered  nurse  within  the  meaning  of  this  Act. 

SEC.  12.  Be  it  further  enacted :  That  after  the  expiration  of  six  months  from  the 
passage  of  this  Act  it  shall  be  unlawful  for  any  person  or  persons  to  practice  pro- 
fessional nursing  as  a  trained,  graduate,  or  registered  nurse  in  this  State  without  a 
certificate  from  the  said  Board;  and  it  shall  also  be  unlawful  for  any  unlicensed 
person  or  persons,  without  the  certificate  in  this  Act  mentioned,  to  advertise  to  the 
public  as  nurse,  or  for  any  drug  store  proprietor,  physician,  or  other  person  to  ad- 
vertise or  publicly  keep  a  record  or  list  of  names,  not  licensed  as  herein  provided, 
unless  such  advertisement,  list,  or  record  also  state  that  such  nurse  or  person  or 
persons  is  "Not  Licensed";  and  a  violation  of  this  Section  of  this  Act  shall  be  a 
misdemeanor,  and  subject  the  person  guilty  thereof  to  indictment  or  presentment, 
and  upon  conviction  thereof  shall  be  fined  not  less  than  Twenty-Five  ($25.00)  Dollars 
nor  more  than  Two  Hundred  and  Fifty  ($250.00)  Dollars. 

Every  nurse  who  registers  and  is  licensed  in  accordance  with  the  provisions 
hereof  shall  be  styled  and  known  as  a  "Registered  Nurse,"  and  no  other  nurse  shall 
assume  or  use  such  title  or  use  the  abbreviation  "  R.  N., "  or  any  other  letters,  words, 
or  figures  to  indicate  that  he  or  she  is  a  registered  nurse,  and  a  violation  hereof 
shall  be  deemed  a  misdemeanor,  and  shall  upon  conviction  be  punished  as  herein- 
before in  this  Section  provided. 

SEC.  13.  And  be  it  further  enacted:  That  any  certificate  issued  by  said  Board 
may  be  revoked  by  it  at  any  time  for  drunkenness,  or  drug  addiction,  or  neglect  of 
patient,  or  the  commission  of  any  act  which  is  a  felony  under  the  laws  in  force  in  this 
State,  or  incompetency  or  immorality;  but  no  such  license  or  certificate  shall  be 
revoked  without  a  hearing,  notice  of  the  time  and  place  of  which  shall  be  given  to 


FULL   TEXT   OF   LAWS  131 

the  holder  of  the  certificate  by  the  secretary  at  least  thirty  (30)  days  before  the  day 
set  for  the  hearing,  which  notice  shall  plainly  set  forth  the  charges  against  the 
holder  of  said  certificate,  and  the  trial  shall  be  only  upon  the  grounds  so  specified. 
Said  notice  shall  be  mailed  to  the  said  person  so  accused,  at  his  or  her  last  known  ad- 
dress, postage  prepaid,  or  the  same  shall  be  delivered  personally  to  the  person  so 
accused. 

A  true  and  correct  record  of  the  hearing  and  decision  in  every  hearing  to  de- 
termine whether  a  license  shall  be  revoked  shall  be  kept,  showing  the  charge  or 
charges,  the  date  of  the  notice,  how  served,  and  the  date  and  place  of  hearing, 
whether  the  license  to  be  tried  appeared,  and  the  decision  of  the  Board. 

SEC.  14.  Be  it  further  enacted:  That  this  Act  take  effect  from  and  after  its 
passage,  the  public  welfare  requiring  it. 

TEXAS 

Be  it  enacted  by  the  Legislature  of  the  State  of  Texas: 

SECTION  i.  That  a  Board  to  be  known  as  the  Board  of  Nurse  Examiners  for 
the  State  of  Texas  is  hereby  established.  Said  Board  shall  be  composed  of  five 
registered  nurses,  who  shall  be  trained  nurses  of  at  least  twenty-three  (23)  years  of 
age,  of  good  moral  character,  and  graduates  of  a  training-school  connected  with  a 
general  hospital  or  sanitarium  of  good  standing,  presided  over  by  a  graduate  nurse, 
where  a  two  years'  training  with  a  systematic  course  of  instruction  is  given  in  the 
wards.  Two  members  of  said  Board  must  be  nurses  who  have  had  at  least  two  years' 
experience  in  educational  work  among  nurses.  Said  Board  shall  be  appointed  by 
the  Governor  of  this  State  within  sixty  (60)  days  after  this  Act  shall  go  into  effect,  and 
biennially  thereafter  within  sixty  days  after  his  inauguration,  and  the  term  of  office 
shall  be  two  years,  or  until  their  successors  shall  be  appointed  and  qualified.  Vacan- 
cies occurring  in  the  Board  shall  be  filled  by  the  Governor. 

SEC.  2.  That  the  members  of  the  said  Board  shall,  as  soon  as  organized,  an- 
nually in  the  month  of  April,  elect  from  their  members  a  president  and  secretary, 
who  shall  also  be  the  treasurer.  Three  members  of  this  Board  shall  constitute  a 
quorum,  and  special  meetings  of  said  Board  shall  be  called  by  the  secretary  upon  the 
written  request  of  any  two  members.  The  Board  is  authorized  to  make  such  by- 
laws and  rules  as  shall  be  necessary  to  govern  its  proceedings  and  to  carry  into  effect 
the  purpose  of  this  Act;  provided,  that  said  Board  shall  adopt  Roberts'  "Rules  of 
Order"  to  guide  it  in  the  transaction  of  its  business.  The  secretary  shall  be  required 
to  keep  a  record  of  all  the  meetings  of  said  Board,  including  a  register  of  the  names 
of  all  nurses  registered  under  this  Act,  which  shall  at  all  reasonable  times  be  open 
for  public  scrutiny,  and  said  Board  shall  cause  the  prosecution  of  all  persons  vio- 
lating any  of  the  provisions  of  this  Act,  and  may  incur  necessary  expenses  on  that 
behalf;  that  the  president  and  secretary  shall  make  a  biennial  report  to  the  Governor 
on  or  before  the  first  day  of  January  immediately  preceding  the  convening  of  the 
Legislature,  together  with  a  statement  of  the  receipts  and  disbursements  of  said 
Board. 

SEC.  3.  That  after  organization  it  shall  be  the  duty  of  said  Board  to  meet  regu- 
larly once  in  every  six  (6)  months,  notice  of  which  meeting  shall  be  given  to  the 
public  press  and  in  one  nursing  journal  one  month  previous  to  the  meeting.  At 
every  regular  meeting — namely,  every  six  (6)  months — it  shall  be  the  duty  of  the 
Board  to  examine  all  applicants  for  registration  under  this  Act.  Applicants  must 
be  graduated  from  a  chartered  training-school,  presided  over  by  a  graduate  nurse. 
Upon  filing  application  for  examination,  each  applicant  shall  pay  an  examination 
fee  of  five  ($5.00)  dollars,  which  shall  be  in  no  case  returned  to  the  applicant,  whether 
the  examination  be  passed  or  not,  but  in  case  the  applicant  passes  the  examination, 
then  no  further  fee  shall  be  required  for  registration.  The  examination  shall  be  of 
such  a  character  as  to  determine  the  fitness  of  the  applicant  to  practice  professional 
nursing  as  contemplated  by  this  Act;  provided,  said  Board  shall  prepare  questions 


132  STATE   REGISTRATION   FOR   NURSES 

for  examinations  and  shall  examine  applicants  on  the  following  subjects:  Practical 
nursing,  surgical  nursing,  obstetrical  nursing,  materia  medica,  anatomy,  physiology, 
hygiene,  dietetics,  and  gynecology.  If  the  result  of  the  examination  shall  be  satis- 
factory to  the  majority  of  the  Board,  the  Board  shall  sign  and  issue  a  certificate  to 
the  applicant  to  that  effect,  which  certificate  shall  be  attested  by  the  secretary, 
whereupon  the  person  named  in  the  certificate  shall  be  duly  qualified  to  practice 
professional  nursing  in  this  State.  Any  registered  nurse  from  any  other  State,  where 
the  laws  with  reference  to  professional  nursing  are  up  to  the  standard  of  the  laws  of 
the  State  of  Texas,  who  shall  show  to  the  satisfaction  of  the  Board  that  he  or  she  is  a 
trained  graduate  nurse  of  a  hospital  or  sanitarium,  the  standard  of  instruction  and 
training  of  which  shall  meet  the  requirements  of  the  rules  prescribed  by  said  Board, 
and  who  shall  be  otherwise  properly  qualified,  may  receive  a  certificate  and  be 
registered  as  a  nurse  of  this  State  without  examination. 

SEC.  4.  That  all  nurses  who  are  engaged  in  nursing  at  the  tune  of  the  passage  of 
this  Act,  and  who  shall  show  to  the  satisfaction  of  the  said  Board  that  they  are  of 
good  moral  character  and  were  graduated  prior  to  April,  1909,  from  a  training-school 
connected  with  a  hospital  or  sanitarium  giving  two  years  general  training,  or,  prior 
to  the  year  1901,  having  given  eighteen  months'  general  training  and  who  maintains 
hi  other  respects  proper  standards,  shall  be  entitled  to  registration  without  examina- 
tion, provided  they  register  prior  to  January  ist,  1912.  All  persons  who  have  hereto- 
fore received  registration  certificates  in  compliance  with  an  Act  of  the  Regular 
Session  of  the  Thirty-first  Legislature,  being  "An  Act  to  define  and  regulate  the 
practice  of  professional  nursing,  to  create  a  Board  of  Nurse  Examiners  for  the  exam- 
ination and  licensing  of  nurses,  and  to  prescribe  their  qualifications,  to  provide 
for  their  proper  registration  and  for  the  revocation  of  certificates,  and  to  fix 
suitable  penalties  for  the  violation  of  this  Act,"  shall  not  be  required  to  obtain  new 
registration  certificates,  but  such  certificates  heretofore  secured  under  said  Act 
of  the  Thirty-first  Legislature  shall  be  hi  all  things  valid  and  binding  and  of  full 
force  and  effect.  All  persons  who  are  in  training  in  the  wards  of  a  general  hospital 
or  sanitarium  in  this  State,  where  a  two  years'  training  with  a  systematic  course 
of  instruction  is  given  at  the  tune  of  the  passage  of  this  Act,  and  shall  graduate  here- 
after, and  possess  the  above  qualifications,  shall  be  entitled  to  registration  without 
examination.  Provided  application  for  registration  certificate  shall  be  made  to  the 
Board  herein  provided  for,  who  shall  issue  proper  certificate  of  registration  without 
examination,  it  the  applicant  be  found  entitled  thereto  under  the  provisions  of  this 
Act.  All  nurses  who  have  served  in  the  army  or  navy  of  the  United  States,  and  have 
been  honorably  discharged,  shall  be  entitled  to  registration  without  examination. 
It  shall  be  unlawful  hereafter  for  any  person  to  practice  nursing  as  a  registered 
nurse  without  a  certificate  from  the  State  Board  of  Nurse  Examiners.  A  nurse 
who  has  received  his  or  her  certificate  according  to  the  provisions  of  this  Act  shall 
be  styled  and  known  as  a  "Registered  Nurse."  No  other  person  shall  assume  such 
title  or  use  the  abbreviation  "  R.  N., "  or  any  other  letters  to  indicate  that  he  or  she 
is  a  registered  nurse.  The  Board  in  each  instance  shall  require  a  registration  fee 
of  five  ($5.00)  dollars. 

SEC.  5.  The  State  Board  of  Nurse  Examiners  shall  have  the  power  to  revoke 
any  certificate,  issued  in  accordance  with  this  Act  by  a  unanimous  vote  of  said  Board, 
for  gross  incompetency,  dishonesty,  habitual  intemperance,  or  any  act  derogatory 
to  the  morals  or  standing  of  the  profession  of  nursing,  as  may  be  determined  by  the 
Board,  but  before  any  certificate  shall  be  revoked  the  holder  thereof  shall  be  entitled 
to  at  least  thirty  days'  notice  in  writing  of  the  charge  against  him  or  her,  and  of  the 
time  and  place  of  hearing  and  determining  of  such  charges,  at  which  tune  and  place 
he  or  she  shall  be  entitled  to  be  heard,  and  in  the  event  said  certificate  shall  be  re- 
voked by  said  Board,  the  holder  of  such  certificate  shall  have  right  of  action  within 
thirty  days  thereafter  in  the  district  court  of  the  county  of  the  residence  of  any 
member  of  the  Board,  and  said  certificate  shall  remain  in  force  until  the  question 
is  finally  decided  by  the  courts.  Upon  revocation  of  any  certificate  it  shall  be  the 


FULL   TEXT   OF   LAWS  133 

duty  of  the  secretary  of  the  Board  to  strike  the  name  of  the  holder  thereof  from  the 
roll  of  registered  nurses. 

SEC.  6.  All  fees  received  by  the  State  Board  of  Nurse  Examiners  under  this 
Act  shall  be  paid  to  the  treasurer  of  said  Board,  who  shall  pay  the  same  out  on 
vouchers  issued  and  signed  by  the  president  and  secretary  of  said  Board  upon  war- 
rants drawn  by  the  president  of  the  State  Board  of  Examiners.  All  money  so 
received  and  placed  in  said  fund  may  be  used  by  the  State  Board  of  Nurse  Exam- 
iners in  defraying  its  expenses  in  carrying  out  the  provisions  of  this  Act. 

SEC.  7.  This  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  or  to  any  person  nursing  the 
sick  for  hire  who  does  not  in  any  way  assume  the  practice  as  a  trained,  graduate,  or 
registered  nurse. 

SEC.  8.  That  any  person  violating  the  provisions  of  this  Act,  or  who  shall  make 
any  false  representations  to  said  Board  in  applying  for  a  certificate,  shall  be  guilty 
of  misdemeanor,  and  upon  conviction  be  punished  by  a  fine  of  not  more  than  three 
hundred  ($300.00)  dollars. 

SEC.  9.  The  crowded  condition  of  the  calendar  and  the  near  approach  of  the 
end  of  the  session  creates  an  emergency  and  imperative  public  necessity  that  the 
constitutional  rule  requiring  bills  to  be  read  on  three  several  days  be  suspended,  and 
the  same  is  hereby  suspended,  and  that  this  shall  take  effect  and  be  in  force  from  and 
after  its  passage,  and  it  is  so  enacted. 

VERMONT 

It  is  hereby  enacted  by  the  General  Assembly  of  the  State  of  Vermont: 

SECTION  i.  A  board  of  registration  for  nurses  is  hereby  established  to  consist 
of  three  members,  to  be  appointed  by  the  governor  within  thirty  days  after  the 
passage  of  this  act.  Two  members  of  said  board  shall  be  physicians  in  active  prac- 
tice on  the  attending  staff  of  any  hospital  of  the  state  having  a  training-school  for 
nurses.  The  third  member  shall  be  a  graduate  nurse  holding  a  diploma  from  a  hos- 
pital training-school  for  nurses,  giving  at  least  a  two  years'  course  in  the  theory  and 
practice  of  nursing;  he  or  she  shall  have  had  three  years'  experience  in  nursing  the 
sick.  The  members  of  said  board  shall  be  appointed  as  follows:  One  for  two  years, 
one  for  four  years,  and  one  for  six  years  from  the  first  day  of  March,  1911,  and  until 
their  respective  successors  are  appointed;  and  thereafter  the  governor  shall  bien- 
nially, before  the  first  day  of  March,  appoint  one  person,  qualified  as  aforesaid,  to 
hold  office  for  six  years  from  the  first  day  of  March  next  ensuing.  Vacancies  in 
said  board  shall  be  filled  for  the  unexpired  term  in  the  manner  of  the  original 
appointment.  Any  member  of  said  board  may  be  removed  for  cause  by  the 
governor. 

SEC.  2.  The  members  of  said  board  shall  meet  the  second  Tuesday  in  March, 
and  annually  thereafter,  and  proceed  to  organize  by  choosing  a  president,  secretary, 
and  treasurer,  who  shall  hold  office  for  one  year,  or  until  their  successors  are  elected. 
They  shall  adopt  a  seal  and  such  by-laws  and  regulations  as  are  needed  for  the  trans- 
acting of  business,  but  said  board  shall  not  in  any  way  control  the  prices  or  com- 
pensation paid  to  nurses.  The  said  board  shall  hold  two  meetings  regularly  each 
year,  the  time  and  place  to  be  fixed  by  the  board,  and  they  may  hold  additional 
meetings  at  such  times  and  places  as  may  be  deemed  necessary. 

SEC.  3.  It  shall  be  the  duty  of  said  board,  immediately  upon  its  organization, 
to  notify  all  persons  engaged  in  the  practice  of  nursing  the  sick  in  the  state  of  the 
times  and  places  of  the  examinations  for  registration,  by  publishing  in  one  or  more 
newspapers  hi  the  state,  and  by  a  written  notice  to  the  superintendents  of  all 
training-schools  and  nurses'  registry  bureaus  in  the  state. 

Application  for  registration  shall  be  made  upon  blanks  to  be  furnished  by  the 
board  and  shall  be  signed  and  sworn  to  by  the  applicant.  Any  person,  a  resident 
of  this  state,  who  shall  furnish  satisfactory  evidence  that  he  or  she  is  at  least  twenty- 


134  STATE   REGISTRATION   FOR   NURSES 

one  years  of  age,  of  good  moral  character,  and  who  holds  a  diploma  from  a  training- 
school  for  nurses  connected  with  some  hospital  requiring  at  least  a  two  years'  course, 
shall,  upon  payment  of  a  fee  of  five  dollars,  be  examined  by  said  board  and  if 
found  to  be  qualified  shall  be  registered  with  the  right  to  use  the  title  of  Registered 
Nurse,  and  shall  receive  a  certificate  thereof  from  the  board  signed  and  sealed  by 
the  president  and  secretary.  Within  sixty  days  from  date  of  issue  this  certificate 
must  be  recorded  in  the  office  of  the  secretary  of  state,  with  an  affidavit  of  identity 
and  residence  of  the  person  to  whom  granted. 

An  applicant  who  fails  to  pass  an  examination  satisfactory  to  the  board,  and  is 
therefore  refused  registration,  shall  be  entitled,  within  one  year  after  such  refusal, 
to  a  re-examination  at  a  meeting  of  the  board  called  for  the  examination  of  appli- 
cants, without  payment  of  additional  fee.  The  said  board  may  after  a  hearing,  by  a 
vote  of  a  majority  of  its  members,  annul  the  registration  and  cancel  the  certificate 
of  any  nurse,  without  hearing,  if  such  nurse  has  been  found  guilty  of  a  crime  or 
misdemeanor.  All  fees  received  by  the  board  shall  be  paid  annually  into  the  state 
treasury. 

SEC.  4.  Examinations  shall  be  partly  in  writing  in  the  English  language  and 
partly  in  practical  work,  and  shall  include  the  principles  of  nursing.  Due  credit 
shall  be  given  for  examinations  in  special  branches. 

SEC.  5.  The  board  shall  have  the  power  to  register  in  like  manner  without 
examination,  upon  payment  of  the  usual  fee,  any  person  who  has  been  registered  as 
a  professional  nurse  in  another  state  under  laws  which,  in  the  opinion  of  the  board, 
maintain  a  standard  substantially  similar  to  that  of  this  act,  and  which  extends  a 
similar  courtesy  to  nurses  registered  in  this  state.  Graduate  nurses,  residents  of 
this  state,  who  hold  diplomas  from  an  accredited  nurses'  training-school,  bearing 
date  not  later  than  January  ist,  191 1 ,  may  become  registered  as  herein  provided  with- 
out examination  upon  payment  of  the  usual  fee. 

SEC.  6.  Each  member  of  the  board  shall  receive  four  dollars  for  every  day 
actually  spent  in  the  performance  of  his  or  her  duties;  provided,  however,  that 
in  no  event  shall  the  total  sum  paid  to  any  one  member  exceed  one  hundred  ($100.00) 
dollars  in  any  one  year,  and  the  necessary  traveling  expenses  actually  incurred  in 
attending  meetings  of  the  board,  not  exceeding  three  cents  per  mile  each  way. 
The  said  compensation  and  traveling  expenses,  together  with  any  incidental  expenses 
necessarily  incurred  by  the  board  or  any  member  thereof,  shall  if  approved  by  the 
board  be  paid  from  the  treasury  of  the  state,  but  only  from  the  fees  paid  into  the 
said  treasury  by  the  board. 

SEC.  7.  The  board  shall  keep  a  record  of  all  names  of  persons  registered  here- 
under,  and  of  all  money  received  and  disbursed  by  it,  and  a  duplicate  thereof  shall 
be  open  to  inspection  in  the  office  of  the  secretary  of  state.  Said  board  shall 
annually,  on  or  before  the  first  day  of  January,  make  a  report  to  the  governor  of  the 
condition  of  professional  nursing  in  the  state,  of  all  its  acts  during  the  preceding 
year,  and  of  its  receipts  and  disbursements. 

SEC.  8.  Whoever,  not  being  authorized  to  practice  as  a  registered  nurse  within 
this  State,  practices  or  attempts  to  practice  as  a  Registered  Nurse,  or  uses  the  ab- 
breviation R.  N.  or  any  other  words  or  letters  or  figures  to  indicate  that  the  per- 
son using  the  same  is  a  registered  nurse,  shall  for  each  offense  be  punished  by  a  fine 
of  not  more  than  one  hundred  dollars.  Whoever  becomes  registered  or  attempts 
to  become  registered,  or  whoever  practices  or  attempts,  to  practice  as  a  registered 
nurse  under  a  false  or  assumed  name  shall  for  each  offense  be  punished  by  a  fine  of 
not  less  than  one  hundred  dollars  nor  more  than  five  hundred  dollars,  or  by  im- 
prisonment for  three  months,  or  by  both  fine  and  imprisonment. 

SEC.  9.  The  board  shall  investigate  all  complaints  of  violations  of  the  pro- 
visions of  this  act,  and  report  the  same  to  the  proper  prosecuting  officer. 

SEC.  10.  This  act  shall  not  apply  to  gratuitous  nursing  of  the  sick  by  friends  or 
members  of  the  family,  or  to  the  acts  of  any  person  nursing  the  sick  for  hire  who  does 
not  assume  to  be  a  registered  nurse. 


FULL   TEXT   OF   LAWS  135 

SEC.  n.  The  board  may  make  such  rules  and  regulations  with  reference  to 
procedure  hereunder  as  it  may  deem  expedient,  provided  that  the  same  are  not 
inconsistent  with  this  act  or  with  any  other  law  of  the  state. 

SEC.  12.  For  the  purpose  of  the  appointment  of  said  board  and  of  registration 
of  persons  by  it  hereunder,  this  act  shall  take  effect  upon  its  passage. 

VIRGINIA 

AN  ACT  TO  REGULATE  THE  PROFESSIONAL  NURSING  OF  THE  SICK  IN  THE  STATE  OF 

VIRGINIA 

SECTION  i.  Be  it  enacted  by  the  General  Assembly  of  Virginia:  That  within 
sixty  days  after  the  passage  of  this  Act  the  Governor  of  this  State  shall  appoint  a 
State  Board  of  Examiners  of  Graduate  Nurses,  to  be  composed  of  five  (5)  members, 
to  be  selected  by  the  Governor  from  twelve  (12)  nominations  submitted  to  him  by 
the  Virginia  State  Association  of  Graduate  Nurses.  One  of  the  members  of  this 
board  shall  be  designated  to  hold  office  one  year,  one  for  two  years,  one  for  three 
years,  one  for  four  years,  one  for  five  years,  and  thereafter,  upon  the  expiration  of 
the  term  of  office  of  the  person  so  appointed,  the  Governor  of  the  State  shall  appoint 
a  successor  to  each  person  whose  term  of  office  shall  expire  to  hold  office  for  five  years, 
and  the  person  so  appointed  shall  be  selected  by  the  Governor  from  a  list  of  seven 
nominations  submitted  to  him  by  the  Virginia  State  Association  of  Graduate  Nurses. 
In  case  appointment  of  a  successor  is  not  made  before  the  expiration  of  the  term  of 
any  member,  such  member  shall  hold  office  until  a  successor  is  appointed  and  duly 
qualified.  Any  vacancy  occurring  in  membership  of  the  board  shall  be  filled  by 
the  Governor  of  this  State  for  the  unexpired  term  of  such  membership. 

SEC.  2.  The  members  of  the  State  Board  of  Examiners  of  Registered  Nurses 
shall,  before  entering  on  the  discharge  of  their  duties,  make  and  file  with  the  Secre- 
tary of  the  Commonwealth  the  constitutional  oath  of  office.  They  shall  as  soon  as 
organized,  and  annually  thereafter  in  the  month  of  January,  elect  from  their  number 
a  president  and  a  secretary,  who  shall  be  the  treasurer.  The  treasurer,  before  enter- 
ing upon  his  or  her  duties,  shall  file  a  bond  with  the  Secretary  of  the  Commonwealth 
for  such  sum  as  shall  be  required  of  him  or  her  by  said  Secretary  of  Commonwealth. 
The  board  shall  adopt  rules  and  regulations  not  inconsistent  with  this  act  to 
govern  its  proceedings,  and  also  a  seal,  and  the  secretary  shall  have  the  care  and 
custody  thereof,  and  he  or  she  shall  keep  a  record  of  all  proceedings  of  the  board, 
including  a  register  of  the  names  of  all  nurses  duly  registered  under  this  act,  which 
shall  be  open  at  all  reasonable  times  to  public  scrutiny,  and  the  board  shall  cause  the 
prosecution  of  all  persons  violating  any  of  the  provisions  of  this  act  and  may  incur 
necessary  expense  on  that  behalf.  The  secretary  of  the  board  may  receive  a  salary, 
which  may  be  fixed  by  the  board,  and  which  shall  not  exceed  one  hundred  dollars 
($100.00)  per  annum;  heor  she  shall  also  receive  traveling  and  other  expenses  incurred 
in  the  performance  of  his  or  her  official  duties.  The  other  members  of  the  Board 
shall  receive  the  sum  of  one  dollar  ($1.00)  for  each  day  actually  engaged  hi  this 
service,  and  all  legitimate  and  necessary  expenses  incurred  in  attending  the  meetings 
of  said  board.  Said  expenses  and  salaries  shall  be  paid  from  the  fees  received  by  the 
board  under  the  provisions  of  this  act,  and  no  part  of  the  salary  or  other  expenses  of 
the  board  shall  be  paid  out  of  the  State  treasury.  All  money  received  in  excess  of 
the  said  per  diem  allowance  and  other  expenses  provided  for  shall  be  held  by  the 
treasurer  as  a  special  fund  for  meeting  the  expenses  of  said  board  and  the  cost  of 
(annual)  reports  of  the  proceedings  of  said  board. 

SEC.  3.  Three  members  of  the  board  shall  constitute  a  quorum.  Special 
meetings  of  the  board  shall  be  called  by  the  secretary  upon  written  request  of  any 
two  members.  The  board  shall  adopt  rules  and  regulations  for  the  examination 
of  applicants  for  licenses,  certificates,  or  to  practice  professional  nursing  of  the  sick 
in  accordance  with  the  provisions  of  this  act,  and  may  amend,  modify,  and  repeal 


136  STATE   REGISTRATION   FOR   NURSES 

such  rules  and  regulations  from  time  to  time.  The  board  shall  immediately  upon 
the  election  of  the  officers  thereof,  and  upon  the  adoption  of  its  rules  of  government, 
or  its  rules  and  regulations  for  examination  of  applicants  for  registration,  file  with 
the  Secretary  of  the  Commonwealth  and  publish  in  at  least  one  journal  devoted  to 
the  interest  of  professional  nursing  and  one  daily  newspaper  published  in  the  State 
of  Virginia  at  least  twice,  the  name  and  address  of  each  officer,  and  a  copy  of  such 
rules  and  regulations,  or  the  amendment  or  modification  thereof. 

SEC.  4.  Provision  shall  be  made  by  the  board  hereby  constituted  for  holding 
examinations  at  least  twice  in  each  year.  All  examinations  shall  be  made  directly 
by  said  board  or  a  committee  of  two  (2)  members  delegated  by  the  board,  and  due 
notice  of  the  time  and  place  of  holding  such  examinations  as  hi  the  case  provided 
for  the  publication  of  the  rules  and  regulations  of  said  board.  The  examination 
shall  be  of  such  character  as  to  determine  the  fitness  of  the  applicant  to  practice 
professional  nursing  of  the  sick.  If  the  result  of  the  examination  of  any  applicant 
shall  be  satisfactory  to  a  majority  of  the  board,  the  secretary  shall,  upon  an  order 
of  the  board,  issue  to  the  applicant  a  certificate  to  that  effect  upon  payment  to  the 
secretary  by  the  candidate  of  a  fee  of  five  dollars  ($5.00),  whereupon  the  person 
named  on  the  certificate  shall  be  declared  duly  licensed  to  practice  professional 
nursing  in  this  State.  Any  persons  from  other  States  who  shall  show  to  the  satis- 
faction of  the  board  that  he  or  she  is  properly  and  duly  registered  for  the  practice  of 
professional  nursing  in  such  States,  upon  payment  of  usual  fees  for  certificate  is 
entitled  to  a  license  to  practice  professional  nursing  in  this  State  without  an  exam- 
ination. 

SEC.  5.  The  applicant  who  desires  to  practice  professional  nursing  shall  fur- 
nish satisfactory  evidence  that  he  or  she  is  more  than  twenty-one  (21)  years  of  age, 
is  of  good  moral  character,  has  received  a  sufficient  preliminary  education  as  may  be 
determined  by  the  board,  and  has  graduated  from  a  training-school  of  a  general 
hospital  of  good  standing,  as  may  be  determined  by  the  board,  and  where  at  least 
two  years'  training  in  the  hospital  and  systematic  courses  of  instruction  are  given. 

SEC.  6.  Any  person  who  shall  show  to  the  satisfaction  of  the  board  that  he  or 
she  graduated  from  a  training-school  of  a  general  hospital  of  good  standing  prior  to 
the  first  day  of  January,  1904,  or  that  he  or  she  was  engaged  in  the  practice  of  pro- 
fessional nursing  of  the  sick  on  the  date  of  the  passage  of  this  act,  shall  be  entitled 
to  a  license  without  passing  an  examination,  provided  such  application  shall  be 
made  within  twelve  months  after  the  passage  of  this  act. 

SEC.  7.  All  persons  who  have  duly  received  licenses  or  certificates  in  accord- 
ance with  the  provisions  of  this  Act  shall  be  known  and  styled  a  registered  nurse, 
and  it  shall  be  unlawful  after  one  year  from  the  passage  of  this  act  for  any  person  to 
practice  professional  nursing  of  the  sick  as  such  for  compensation  without  a  license 
or  certificate  in  this  State,  or  to  advertise  as  or  assume  the  title  of  trained  nurse  or 
graduate  nurse,  or  to  use  the  abbreviation  of  "T.  N. "  or  "G.  N.,"  or  any  other 
words,  letters,  or  figures  to  indicate  that  the  person  using  the  same  is  a  trained, 
registered,  or  graduate  nurse. 

SEC.  8.  Any  person  violating  any  of  the  provisions  of  this  Act  shall  be  guilty 
of  a  misdemeanor,  punishable  by  a  fine  of  not  less  than  fifty  dollars  ($50.00)  nor 
more  than  two  hundred  dollars  ($200.00)  for  the  first  offense,  and  not  less  than  one 
hundred  dollars  ($100.00)  nor  more  than  five  hundred  dollars  ($500.00)  for  each  sub- 
sequent offense. 

SEC.  9.  This  act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  and  also  it  shall  not  apply 
to  any  person  nursing  the  sick  for  hire,  but  who  does  not  in  any  way  assume  to  be  a 
registered  or  graduate  nurse. 

SEC.  10.  Any  person  who  shall  wilfully  make  any  false  representation  to  the 
board  of  examiners  in  applying  for  a  license  shall  be  guilty  of  a  misdemeanor,  and 
upon  conviction  be  punished  by  a  fine  of  not  less  than  five  hundred  dollars  ($500.00) 
nor  more  than  one  thousand  dollars  ($1000.00). 


FULL   TEXT   OF   LAWS  137 

SEC.  ii.  The  State  Board  of  Examiners  of  Graduate  Nurses  shall  have  the 
power  to  revoke  any  certificate  or  license  issued  in  accordance  with  this  act,  by 
unanimous  vote  of  said  board,  for  gross  incompetency,  dishonesty,  habitual  intem- 
perance, or  any  act  derogatory  to  the  morals  or  standing  of  the  profession  of  nursing, 
as  may  be  determined  by  the  board,  but  before  any  license  or  certificate  shall  be 
revoked  the  holder  thereof  shall  be  entitled  to  at  least  thirty  days'  notice  of  the 
charge  against  him  or  her,  and  of  the  time  and  place  of  hearing  and  determining 
of  such  charges,  at  which  time  and  place  he  or  she  shall  be  entitled  to  be  heard. 
Upon  the  revocation  of  any  certificate  or  license,  it  shall  be  the  duty  of  the  secretary 
of  the  board  to  strike  the  name  of  the  holder  thereof  from  the  roll  of  registered  nurses. 

SEC.  12.    This  act  shall  be  in  force  from  its  passage. 

WASHINGTON 

Be  it  enacted  by  the  Legislature  of  the  State  of  Washington: 

SECTION  i.  That  from  and  after  the  expiration  of  the  ninety  days  immediately 
following  the  passage  of  this  act,  no  person  shall  in  the  State  of  Washington,  in  any 
manner  whatsoever,  represent  herself  to  be  a  registered  nurse,  or  allow  herself  to  be  so 
represented,  unless  she  has  been  and  is  registered  by  the  nurses'  examining  board 
in  accordance  with  the  provisions  of  this  act. 

SEC.  2.  That  within  thirty  days  after  the  taking  effect  of  this  act  the  Governor 
of  the  State  of  Washington  shall  appoint  a  nurses'  examining  board  to  be  composed 
of  five  graduate  nurses,  all  of  whom  are  eligible  for  registration  according  to  the 
provisions  of  this  act,  and  who  have  had  at  least  three  years'  experience  in  the 
profession  after  graduation.  All  appointments  shall  be  so  made  that  the  term  of 
one  member  shall  expire  on  the  thirtieth  day  of  June  of  each  year,  and  upon  the 
expiration  of  the  term  of  office  of  any  examiner  the  Governor  shall  appoint  a  regis- 
tered nurse  to  fill  the  vacancy.  No  member  of  said  board  shall  enter  upon  the  dis- 
charge of  her  duties  until  she  has  taken  oath  to  faithfully  and  impartially  perform 
the  same;  and  the  Governor  may  remove  any  member  of  said  board  for  neglect  of 
duty,  or  for  any  other  just  cause. 

SEC.  3.  That  the  nurses'  examining  board  shall  meet  in  the  State  of  Washing- 
ton within  ninety  days  after  their  appointment  and  organize  the  board,  and  annually 
thereafter  shall  elect  from  its  members  a  president,  secretary,  and  treasurer.  It  shall 
adopt  such  by-laws  as  it  shall  deem  necessary  for  carrying  into  effect  the  provisions 
of  this  act,  and  may  amend  the  same  from  time  to  time  at  the  discretion  of  said 
board.  The  secretary  shall  be  required  to  keep  a  record  of  all  meetings  of  the 
board,  and  also  a  register  of  the  names  of  all  nurses  duly  registered  under  this  act, 
which  register  shall  be  open  to  the  public  at  all  reasonable  times,  and  to  furnish  a 
certificate  of  registration  to  all  such  nurses,  said  certificate  to  be  renewed  at  end  of 
five  years  upon  payment  of  one  dollar  to  the  examining  board,  at  least  three 
months'  notice  having  been  given,  by  registered  letter,  of  expiration  of  said  certifi- 
cate. The  said  board  shall  hold  examinations  at  least  once  a  year,  and  the  notice 
of  such  examination  shall  be  given  in  one  daily  newspaper  published  in  three  first- 
class  cities  of  the  State  of  Washington,  and  in  a  nursing  journal  published  on  the 
Pacific  Coast  at  least  thirty  days  prior  to  said  examination. 

SEC.  4.  That  every  nurse  desiring  to  style  herself  a  registered  nurse  in  the 
State  of  Washington  shall  make  application  to  the  nurses'  examining  board  for 
examination  for  registration,  such  examination  to  consist  of  questions  in  surgical 
nursing,  contagious,  materia  medica,  dietetics,  medical  nursing,  obstetrics  and 
gynecology,  anatomy,  physiology,  and  hygiene,  and  at  the  tune  of  making  such 
application  applicant  shall  pay  to  the  treasurer  of  said  board  five  dollars,  no 
portion  of  said  fee  to  be  returned.  Said  applicant  must  furnish  satisfactory 
evidence  that  she  is  over  twenty  years  of  age,  of  good  moral  character,  and  free  from 
habits  liable  to  interfere  with  her  services  as  a  nurse,  and  further,  that  she  holds  a 
diploma  from  a  training-school  for  nurses  of  a  reputable  hospital:  Provided,  That 


138  STATE   REGISTRATION   FOR  NURSES 

training-school  shall  give  not  less  than  two  years'  training  in  a  general  hospital,  or 
instruction  of  same  kind  and  to  at  least  the  same  extent  as  that  given  in  the 
general  hospital,  all  of  which  shall  be  determined  by  the  nurses'  examining  board. 

SEC.  5.  That  any  person  possessing  the  qualifications  required  in  section  4  of 
this  act  who  is  engaged  in  nursing  in  the  State  of  Washington  at  the  time  of  the 
passage  of  this  act,  or  shall  graduate  from  a  reputable  training-school  of  a  general 
hospital  within  three  years  of  passage  of  this  act,  shall  be  entitled  to  registration 
without  examination  upon  payment  of  registration  fee. 

SEC.  6.  That  the  registration  of  any  person  as  a  nurse  in  the  State  of  Washing- 
ton may  be  revoked  and  the  certificate  of  such  person  cancelled  if  it  should  be 
found  to  have  been  obtained  by  fraud,  or  if  she  be  found  guilty  by  the  nurses' 
examining  board  of  any  act  derogatory  to  the  standing  and  morals  of  the  profes- 
sion of  nursing.  But  before  any  certificate  shall  be  revoked  the  holder  thereof  shall 
be  entitled  to  thirty  days'  notice  of  the  charges  against  her,  and  after  a  full  and 
fair  hearing  the  certificate  can  be  revoked  by  a  majority  vote  of  the  whole  board. 

SEC.  7.  Each  member  of  the  nurses'  examining  board  shall  receive  a  compen- 
sation of  five  dollars  per  day  for  each  day  in  which  she  is  actually  and  neces- 
sarily in  attendance  upon  the  meetings  of  the  board,  and  in  going  to  and  re- 
turning from  the  place  of  meeting,  and  all  necessary  expenses  incurred  in  attend- 
ing such  meetings;  all  such  compensation  and  expenses  to  be  paid  by  the  state 
treasurer  by  warrants  drawn  by  the  state  auditor  upon  presentation  of  proper 
vouchers  to  be  approved  by  a  majority  of  said  Board,  as  in  the  case  of  state  officers. 
The  secretary  and  treasurer  of  said  board  shall  receive  a  compensation  to  be  deter- 
mined by  said  Board  and  not  to  exceed  one  hundred  dollars  per  annum.  All 
money  received  or  collected  by  said  board  or  any  officer  or  any  member  thereof 
during  any  month  shall  be  turned  over  to  the  state  treasurer  before  the  tenth  day  of 
the  succeeding  month,  together  with  a  verified  statement  showing  the  sources  from 
which  such  money  was  derived. 

SEC.  8.  That  any  person  who  shall  violate  any  of  the  provisions  of  this  act 
shall  be  guilty  of  a  misdemeanor. 

SEC.  9.  That  the  nurses'  examining  board  shall  have  power  to  register  in 
like  manner,  without  examination,  any  person  who  has  been  registered  as  a  graduate 
nurse  in  another  state  or  territory  under  laws  which  in  the  opinion  of  said  board 
maintains  a  standard  substantially  equivalent  to  that  provided  for  by  this  act. 

SEC.  10.  That  nothing  in  this  act  shall  be  construed  to  prevent  any  person  from 
nursing  any  other  person  in  the  State  of  Washington  either  gratuitously  or  for  hire: 
Provided,  That  such  person  so  nursing  shall  not  represent  herself  as  being  a  regis- 
tered nurse.  Nothing  in  this  act  shall  be  construed  as  authorizing  any  person  to 
practice  medicine  or  surgery  or  midwifery  in  said  state. 

SEC.  1 1 .  That  the  word  "  she  "  and  the  derivatives  thereof,  wherever  they  occur 
in  this  act,  shall  be  construed  so  as  to  include  the  word  "he"  and  derivatives. 

WEST  VIRGINIA 

AN  ACT  TO  PROVIDE  FOR  THE  APPOINTMENT  OF  A  STATE  BOARD  OF  EXAMINERS,  AND 
FOR    THE    EXAMINATION    AND    REGISTRATION    OF    NURSES 

Be  it  enacted  by  the  Legislature  of  West  Virginia: 

SECTION  i.  Upon  the  taking  effect  of  this  act  the  governor,  within  sixty  days, 
shall  appoint  a  board  of  examiners  to  be  composed  of  five  members,  two  of  whom 
may  be  women;  one  of  these  members  shall  be  designated  by  the  governor  to  hold 
office  one  year,  two  for  two  years,  and  two  for  three  years;  and  hereafter,  upon  the 
expiration  of  the  term  of  office  of  the  person  or  persons  so  appointed,  the  governor 
shall  appoint  a  successor  or  successors  to  hold  office  for  three  years.  All  vacancies 
occurring  in  the  board  shall  be  filled  by  the  governor. 

SEC.  2.    And  be  it  further  enacted:  That  the  members  of  this  state  board  of 


FULL   TEXT   OF   LAWS  139 

examiners  shall  as  soon  as  organized,  and  annually  thereafter  in  the  month  of  June, 
elect  from  their  members  a  president  and  a  secretary,  who  shall  be  the  treasurer; 
three  members  of  this  board  shall  constitute  a  quorum,  and  special  meetings  of  the 
board  shall  be  called  by  the  secretary  upon  written  request  of  any  two  members; 
the  said  board  of  examiners  is  authorized  to  frame  such  by-laws  as  may  be  neces- 
sary to  govern  its  proceedings,  and  said  board  shall  make  a  biennial  report  of  all  its 
receipts  and  disbursements  to  the  governor  for  transmission  to  the  legislature; 
the  secretary  shall  be  required  to  keep  a  record  of  all  meetings  of  the  board,  includ- 
ing a  register  of  the  names  of  all  nurses  duly  registered  under  this  Act,  which  shall 
at  all  reasonable  times  be  open  to  public  scrutiny,  and  the  board  shall  cause  the 
prosecution  of  all  persons  violating  any  of  the  provisions  of  this  act,  and  may  incur 
necessary  expenses  on  this  behalf;  the  secretary  shall  receive  a  salary,  to  be  fixed 
by  the  board,  not  to  exceed  one  hundred  ($100.00)  dollars  per  annum,  also  traveling 
and  other  expenses  necessarily  incurred  hi  the  discharge  of  her  official  duties;  the 
other  members  of  the  board  shall  receive  four  ($4.00)  dollars  for  each  day  actually 
engaged  in  this  service,  and  all  legitimate  and  necessary  expenses;  said  expenses  and 
salaries  shall  be  paid  from  fees  received  by  the  board  under  the  provisions  of  this 
act,  and  no  part  of  salaries  or  other  expenses  of  the  board  shall  be  paid  out  of  the 
State  treasury;  all  money  received  in  excess  of  said  allowance  and  other  expenses 
provided  for  shall  be  held  by  the  treasurer  for  meeting  the  expenses  of  the  said  board 
and  the  cost  of  annual  report  of  the  board. 

SEC.  3.  That  after  January  first,  one  thousand  nine  hundred  and  eight,  it  shall 
be  the  duty  of  said  board  of  examiners  to  meet  at  some  convenient  point  within  the 
state  not  less  frequently  than  once  a  year,  notice  of  which  meeting  shall  be  given  to 
the  public  press  and  in  one  nursing  journal  one  month  previous  to  the  meeting;  at 
this  meeting  it  shall  be  their  duty  to  examine  all  applicants  for  registration  under 
this  act,  to  determine  their  fitness  and  ability  to  give  efficient  care  to  the  sick. 
Upon  filing  application  for  examination  and  registration  each  applicant  shall  deposit 
a  fee  of  five  ($5.00)  dollars. 

SEC.  4.  That  the  applicant  shall  furnish  satisfactory  evidence  that  he  or  she  is 
twenty-one  (21)  years  of  age,  of  good  moral  character,  has  received  the  equivalent 
of  a  high-school  education,  and  has  graduated  from  a  training-school  connected  with 
a  general  hospital  where  two  years  of  continuous  residence  training  with  a  system- 
atic course  of  instruction  is  given. 

SEC.  5.  That  all  nurses  possessing  the  above  qualifications  or  furnishing  satis- 
factory evidence  that  applicant  has  an  equivalent  to  a  high-school  education  and  has 
been  continuously  and  successfully  engaged  in  general  nursing  for  ten  years  (these 
facts  certified  to  by  three  reputable  physicians  shall  be  deemed  satisfactory  evi- 
dence) shall  be  permitted  to  register  before  January  first,  one  thousand  nine  hun- 
dred and  eight,  without  examination,  upon  payment  of  registration  fee.  And  all 
nurses,  having  been  continuously  and  successfully  engaged  in  nursing  for  five  years 
and  who  maintain  the  proper  standard,  shall,  upon  passing  an  examination,  be 
entitled  to  registration;  provided  such  application  be  made  before  January  first, 
one  thousand  nine  hundred  and  eight.  Graduates  of  training-schools  in  connec- 
tion with  special  hospitals  giving  a  two  years'  course,  who  shall  obtain  one  year's 
additional  training  in  an  approved  general  hospital,  shall  be  eligible  for  registration 
without  examination  before  June  first,  one  thousand  nine  hundred  and  seven;  or 
said  graduates  from  special  hospitals  shall  be  eligible  for  registration  prior  to  said 
date,  upon  passing  special  examination  before  the  board  of  examiners  in  subjects 
not  adequately  taught  in  the  training-schools  from  which  they  have  been  gradu- 
ated; and  it  shall  be  unlawful  after  the  expiration  of  that  time  for  any  person  to 
practice  professional  nursing  as  a  registered  nurse  without  a  certificate  in  this  state. 
A  nurse  who  has  received  his  or  her  certificate  according  to  the  provisions  of  this 
act  shall  be  styled  and  known  as  a  "Registered  Nurse."  No  other  person  shall 
assume  such  a  title  or  use  the  abbreviation  "R.  N.,"  or  any  other  letters  or  figures 
to  indicate  that  he  or  she  is  a  registered  nurse. 


140  STATE   REGISTRATION   FOR   NURSES 

SEC.  6.  That  this  act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family;  and  also  it  shall  not  apply 
to  any  person  nursing  the  sick  for  hire,  but  who  does  not  in  any  way  assume  to  be 
a  registered  nurse. 

SEC.  7.  That  any  person  violating  any  of  the  provisions  of  this  act,  or  who  shall 
wilfully  make  any  false  representations  to  the  board  of  examiners  in  applying  for  a 
certificate,  shall  be  guilty  of  a  misdemeanor,  and  upon  conviction  be  punished  by  a 
fine  of  not  more  than  five  hundred  ($500.00)  dollars. 

SEC.  8.  That  the  state  board  of  examiners  of  graduate  nurses  may  revoke 
any  certificate  for  sufficient  cause;  but  before  this  is  done  the  holder  of  said  certificate 
shall  have  thirty  days'  notice,  and  after  a  full  and  fair  hearing  of  the  charge,  by  a 
majority  vote  of  the  whole  board,  the  certificate  can  be  revoked. 

WISCONSIN 

The  people  of  the  State  of  Wisconsin,  represented  in  Senate  and  Assembly,  do  enact  as 

follows: 

SECTION  i.  There  are  added  to  the  statutes  seven  new  sections  to  read:  Section 
i4O9a — 5.  Any  resident  of  this  state,  being  over  twenty-one  years  of  age,  of  good 
moral  character,  who  shall  make  application  to  the  state  board  of  health  for  regis- 
tration as  a  registered  nurse,  upon  compliance  with  the  provisions  of  this  act,  shall 
be  entitled  to  registration  as  follows: 

First.  Without  examination,  provided  the  application  be  made  prior  to  Sep- 
tember i,  1914,  and  provided  the  applicant  shall  have  graduated  before  said  date 
from  a  reputable  training-school,  connected  with  a  general  or  special  hospital,  who 
at  the  time  of  graduation  shall  have  received  a  course  of  at  least  two  years'  training 
in  such  training-school. 

Second.  If  application  be  made  prior  to  September  i,  1914,  and  the  applicant 
at  the  time  of  such  application  shall  have  been  engaged  in  the  actual  practice  of 
nursing  for  three  years,  and  shall  pass  an  examination  to  determine  the  fitness  and 
ability  of  the  applicant  to  give  efficient  care  to  the  sick. 

Third.  If  application  be  made  on  or  after  September  i,  1914,  and  the  applicant 
at  the  time  of  application  shall  have  graduated  from  a  reputable  training-school,  and 
shall  pass  an  examination  to  determine  the  fitness  and  ability  of  the  applicant  to 
give  efficient  care  to  the  sick.  Such  training-school  within  the  meaning  of  this  sub- 
division must  be  connected  with  a  general  hospital,  and  from  and  after  September 
i,  1911,  must  require  an  adequate  and  systematic  course  of  instruction  of  three 
or  more  years.  The  first  two  years  of  such  course  shall  be  spent  in  such  training- 
school  or  hospital,  and  not  to  exceed  three  months  of  the  senior  year  shall  be 
devoted  to  outside  nursing.  Such  instruction  shall  be  both  theoretic  and  prac- 
tical in  the  following  branches: 

Nursing,  ethics,  anatomy,  physiology,  hygiene,  dietetics,  materia  medica, 
elementary  urinalysis,  medical,  surgical,  and  gynecological  nursing,  obstetrical  nurs- 
ing, including  the  care  of  infants,  and  a  thorough  course  of  theoretical  instruction 
and,  when  possible,  practical  experience  in  contagious  nursing  and  the  nursing  of 
sick  children. 

Fourth.  If  application  be  made  on  or  after  September  i,  1914,  and  the  appli- 
cant at  the  time  of  application  shall  have  graduated  from  a  reputable  training-school, 
connected  with  a  special  hospital,  requiring  a  systematic  course  of  theoretical  and 
practical  training  of  at  least  two  years,  and  who  at  the  time  of  application  shall 
have  obtained  in  a  reputable  general  hospital  one  year's  additional  training  in  the 
subjects  above  enumerated  in  the  third  subdivision  of  this  section,  not  adequately 
taught  in  said  training-school,  and  shall  pass  an  examination  to  determine  the  fit- 
ness and  ability  of  the  applicant  to  give  efficient  care  to  the  sick. 

Fifth.  Without  examination,  provided  the  applicant  shall  have  been  registered 
as  a  registered  nurse,  under  the  laws  of  another  state  having  requirements  deter- 


FULL   TEXT   OF   LAWS  141 

mined  by  the  state  board  of  health  of  this  state,  to  be  equivalent  to  the  require- 
ments of  this  state. 

SEC.  i4OQa — 6.  The  state  board  of  health  shall,  on  or  before  September  i, 
IQII,  appoint  five  graduate  nurses,  to  be  known  as  the  committee  of  examiners 
of  registered  nurses.  At  the  tune  of  their  appointment  they  must  be  actual 
residents  of  the  state.  They  shall  be  selected  from  nurses  engaged  in  active  work, 
who  shall  have  been  graduated  for  at  least  a  period  of  three  years  from  a  reputable 
training-school,  and  who,  during  their  course  of  training,  shall  have  served  for  two 
years  in  a  general  hospital,  and  who  (except  those  appointed  as  first  members  of  the 
committee)  shall  have  been  registered  under  the  provisions  of  this  act.  Two 
members  of  the  committee  shall  be  selected  from  nurses  who  have  had  at  least  two 
years'  experience  in  educational  work  among  nurses.  The  members  of  the  commit- 
tee shall  be  appointed  to  hold  office  as  follows:  One  for  one  year,  two  for  two  years, 
and  two  for  three  years  from  September  i,  1911.  Upon  the  expiration  of  the  term 
of  office  of  a  member,  the  state  board  of  health  shall  appoint  a  successor,  whose 
term  of  office  shall  be  three  years,  and  shall  fill  each  vacancy  for  the  unexpired  term. 
The  board  shall  have  power  to  remove  any  member  of  the  committee.  Each 
member  of  the  committee  shall  hold  office  until  a  successor  is  duly  appointed  and 
qualified. 

SEC.  i4ooa — 7.  i.  The  members  of  the  committee  of  examiners  shall,  as  soon 
as  organized,  and  annually  thereafter,  elect  from  their  number  a  chairman,  who 
shall  preside  over  the  meetings  of  the  committee,  and  a  secretary,  who  shall  keep  a 
record  of  its  proceedings.  The  committee  shall  immediately,  upon  the  election  of 
such  officers,  file  with  the  secretary  of  the  state  board  of  health  a  certificate 
thereof,  giving  the  name  and  address  of  such  officers.  Three  members  of  the 
committee  shall  constitute  a  quorum.  Special  meetings  of  the  committee  shall 
be  called  by  the  secretary,  upon  written  request  of  any  two  members  or  upon  the 
request  of  the  secretary  of  the  state  board  of  health. 

2.  The  committee  shall,  from  time  to  time,  adopt  rules  not  inconsistent  with 
this  act  to  govern  its  proceedings,  also  for  the  examination  of  applicants  for  regis- 
tration, may  amend  or  repeal  such  rules,  may  recommend  courses  of  instruction  for 
the  guidance  of  training-schools,  subject  to  the  approval  of  the  state  board  of 
health.     Immediately  upon  the  adoption  of  any  rule  or  recommendation  the 
committee  shall  file  with  the  secretary  of  the  state  board  of  health  a  certificate 
thereof,  setting  out  therein  a  copy  of  such  rule  or  recommendation,  or  in  case  of  the 
amendment  or  repeal  of  a  rule,  setting  out  fully  such  fact.    The  secretary  of  the 
state  board  of  health  shall  immediately  publish  such  certificate  in  at  least  one 
journal  devoted  to  the  interests  of  professional  nursing. 

3.  Each  member  of   the  committee  shall  receive  a  compensation  of   five 
dollars  and  expenses  for  each  day  in  which  such  member  is  actually  engaged  in 
attendance  upon  the  meetings  of  the  committee,  but  not  exceeding  in  all  fifteen 
days  in  any  one  year,  to  be  audited  by  the  secretary  of  the  state  board  of  health 
and  paid  out  of  the  fund  hereinafter  provided  for. 

SEC.  i4oga — 8.  It  shall  be  the  duty  of  the  committee  of  examiners  to  meet 
for  the  purpose  of  holding  examinations  of  applicants  for  registration,  not  less 
frequently  than  twice  every  year.  Notice  of  the  tune  and  place  of  such  meetings 
shall  be  given  to  the  public  press,  and  to  at  least  one  journal  devoted  to  the  interests 
of  professional  nursing,  and  by  mail  to  every  applicant,  and  to  every  known  train- 
ing-school in  Wisconsin,  at  least  thirty  days  prior  to  the  meeting.  The  com- 
mittee shall  frame  its  own  questions  and  conduct  its  own  examinations.  The  writ- 
ten questions  and  answers  shall  be  filed  with  the  secretary  of  the  state  board  of 
health.  The  applicants  shall  be  known  to  the  members  of  the  examining  com- 
mittee by  numbers,  so  that  no  members  of  the  board  shall  be  able  to  identify  the 
papers  of  any  applicant  until  they  have  been  graded  and  the  case  passed  upon,  and 
all  questions  and  answers  with  a  grade  attached  shall  be  delivered  to  the  secretary 
of  the  state  board  of  health,  and  by  him  preserved  for  at  least  one  year.  Before 


142  STATE   REGISTRATION   FOR   NURSES 

any  applicant  shall  be  permitted  to  take  such  examination  she  shall  pay  to  the 
secretary  of  the  state  board  of  health  an  examination  fee  of  ten  dollars.  No 
person  shall  be  granted  a  license,  except  as  herein  provided,  to  practice  nursing  until 
she  has  passed  a  satisfactory  examination  before  the  examining  committee,  ap- 
pointed for  the  purpose  by  the  state  board  of  health,  nor  until  she  has  filed  with 
said  board  a  certificate  signed  by  at  least  three  members  of  the  Examining  Com- 
mittee, stating  that  they  have  found  her  qualified  to  practice.  Before  the  appli- 
cant is  granted  a  license,  she  shall  also  file  with  the  secretary  of  the  state  board  of 
health,  on  blanks  furnished  by  said  board,  a  statement,  giving  her  name,  place  of 
birth,  and  present  residence.  All  written  questions  for  the  examination  of  nurses 
shall  be  approved  by  the  executive  committee  of  the  state  board  of  health,  and 
the  license  to  practice  nursing  shall  be  issued  by  the  secretary  of  the  state  board 
of  health  and  countersigned  by  the  president  and  secretary  of  the  examining 
committee.  Any  person  to  whom  a  certificate  of  registration  shall  be  issued  shall, 
within  thirty  days  thereafter,  cause  the  same  to  be  recorded  with  the  county  clerk 
of  the  county  in  which  such  person  presided  at  the  time  of  the  application.  The 
state  board  of  health  may  revoke  the  license  of  any  nurse  who  has  been  convicted 
of  unprofessional  or  dishonorable  conduct.  Said  state  board  of  health  shall  have 
power  to  revoke  any  certificate  of  registration  granted  by  them  if  said  certificate  was 
obtained  through  error  or  fraud,  or  if  the  recipient  thereof  is  shown  to  be  grossly 
incompetent  in  the  practice  of  nursing;  and  provided,  further,  that  before  any  cer- 
tificate shall  be  revoked,  the  holder  thereof  shall  have  notice  in  writing,  enumerating 
the  charges  against  her,  and  at  a  specified  date  named  therein,  not  less  than  five 
days  after  the  service  of  such  notice,  be  given  a  hearing  by  said  board  and  have  an 
opportunity  to  produce  testimony  in  her  own  behalf  and  to  confront  the  witnesses 
testifying  in  said  matter.  Any  person  whose  certificate  has  been  revoked  for  gross 
incompetency,  may,  after  the  expiration  of  one  year,  apply  to  have  the  same  re- 
granted,  and  the  same  shall  be  regranted  her  if  in  the  discretion  of  said  board 
they  deem  it  proper. 

SEC.  i4O9a — 9.  It  shall  be  unlawful  hereafter  for  any  person  to  practice,  or 
attempt  to  practice,  in  the  state  as  a  registered  nurse  without  a  certificate  from  the 
state  board  of  health.  Any  person  who  has  received  such  certificate  shall  be  styled 
and  known  as  a  "registered  nurse,"  and  shall  be  entitled  to  append  the  letters 
"R.  N."  to  the  name  of  such  person.  No  other  person  shall  assume  or  use  such 
title,  or  the  abbreviation  "R.  N.,"  or  any  other  words,  letters,  or  figures  to  indicate 
that  such  person  is  a  registered  nurse. 

SEC.  i4OQa — 10.  This  act  shall  not  be  construed  to  affect  or  apply  to  the  gra- 
tuitous nursing  of  the  sick  by  friends  or  members  of  the  family,  nor  to  any  person 
nursing  the  sick  for  hire  who  does  not  in  any  way  assume  or  pretend  to  be  a  registered 
nurse,  and  this  Act  shall  not  be  construed  to  interfere  in  any  way  with  members 
of  religious  communities  or  orders  which  have  charge  of  hospitals  or  take  care  of  the 
sick  in  their  own  homes,  provided  such  members  do  not  in  any  way  assume  to  be 
registered  nurses. 

SEC.  i4OQa — ii.  The  state  board  of  health  shall  enforce  the  provisions  of 
this  Act,  and  cause  the  prosecution  of  all  persons  violating  any  of  the  provisions 
thereof,  and  may  incur  necessary  expenses  in  that  behalf.  The  secretary  of  the 
state  board  of  health  shall  keep  a  register  of  the  names  and  addresses  of  all  nurses 
duly  registered  under  this  act,  which  shall  be  open  at  all  reasbnable  times  to  public 
inspection.  He  shall  also  keep  a  record  of  all  applications  for  registration  and  a 
detailed  account  of  all  moneys  received  and  disbursed.  All  moneys  shall  be  kept 
as  a  special  fund  to  meet  the  expenses  of  carrying  out  and  enforcing  this  act  and  of 
prosecuting  violations  thereof,  and  all  expenses  and  compensations  under  this 
act  shall  be  paid  from  such  fund,  and  no  part  thereof  shall  be  paid  out  of  the  state 
treasury.  The  secretary  of  the  board  shall  make  a  semi-annual  report  of  its  pro- 
ceedings under  this  act  to  the  governor,  and  such  report  shall  contain  a  true  and 
itemized  account  of  all  moneys  received  and  disbursed  under  this  act.  Any  person 


FULL   TEXT    OF    LAWS  143 

violating  any  of  the  provisions  of  this  act  shall  be  guilty  of  a  misdemeanor,  and  shall 
upon  conviction  be  fined  for  each  offense  in  the  sum  of  not  less  than  ten  dollars 
nor  more  than  fifty  dollars. 

SEC.  2.  This  act  shall  take  effect  and  be  in  force  from  and  after  its  passage  and 
publication. 

WYOMING 

AN  ACT  TO  PROVIDE  AND  REGULATE  THE  EXAMINATION  AND  REGISTRATION  OF  NURSES 
AND  THE  PRACTICE  OF  NURSING 

Be  it  enacted  by  the  Legislature  of  the  State  of  Wyoming: 
EXAMINER. 

SECTION  i.  Upon  the  taking  effect  of  this  Act,  the  Wyoming  State  Nurses' 
Association  shall  nominate  for  examiners  five  of  their  members,  who  shall  have  had 
not  less  than  three  years'  experience  in  their  profession,  as  candidates,  and  at  each 
annual  meeting  thereafter  shall  nominate  two  other  candidates.  The  Governor 
shall  appoint  a  Board  of  three  examiners  from  such  list.  When  the  first  appoint- 
ment is  made,  one  member  of  said  Board  shall  be  appointed  for  one  year,  one  for 
two  years,  and  one  for  three  years,  and  thereafter  all  appointments  shall  be  made 
for  a  term  of  three  years,  except  an  appointment  for  an  unexpired  term,  which  shall 
be  made  for  only  such  unexpired  term.  All  vacancies  in  said  Board,  caused  by 
death,  resignation,  or  otherwise,  shall  be  filled  by  the  Governor,  in  the  same  manner 
as  an  original  appointment  and  for  the  time  herein  mentioned. 

MEET  AND  ORGANIZE. 

SEC.  2.  The  members  of  the  said  Board  of  Examiners  shall  meet  and  organize 
as  soon  as  practicable  after  their  appointment,  by  taking  an  oath  faithfully  to  dis- 
charge the  duties  of  their  office,  which  oath  shall  be  filed  with  the  Secretary  of  State, 
and  by  the  election  of  a  president,  vice-president,  and  secretary.  Said  Board  of 
Examiners  may,  from  time  to  time,  adopt  such  rules  and  regulations  as  shall  be 
deemed  necessary  in  the  performance  of  their  duties,  consistent  with  the  require- 
ments of  this  Act.  It  may  adopt  a  seal,  and  the  secretary  shall  have  the  care  and 
custody  thereof.  The  secretary  shall  keep  a  record  of  all  the  proceedings  of  the 
Board  of  Examiners,  including  a  register  of  the  names  and  addresses  of  all  nurses 
duly  registered  under  this  Act,  which  shall  be  open  at  all  times  to  public  inspection. 
The  Board  shall  cause  the  prosecution  of  any  person  violating  this  Act,  and  may 
incur  necessary  expenses  in  that  behalf.  Each  member  of  the  Board  shall  receive 
a  compensation  of  five  ($5.00)  dollars  per  day  or  for  each  fraction  of  a  day  in  which 
each  member  is  actually  engaged  in  the  attendance  upon  the  meetings  of  the  Board, 
and  in  going  to  and  coming  from  the  place  of  meeting,  and  all  the  legitimate  and 
necessary  expenses  incurred  in  attending  such  meetings;  all  such  compensation  and 
expenses  to  be  paid  out  of  the  "  Nurses'  Fund,"  by  warrants  drawn  by  the  State  Audi- 
tor upon  there  being  filed  with  the  State  Auditor  a  certificate  to  be  signed  by  the 
president,  or  vice-president,  and  secretary  of  the  Board,  with  the  seal  of  the  Board 
attached,  showing  the  amount  itemized  to  which  each  member  is  entitled. 

FEES. 

SEC.  3.  The  fees  received  by  the  Board  of  Examiners  herein  specified,  from 
examination  or  otherwise,  shall  be  paid  to  the  State  Treasurer,  and  shall  be  kept  in 
a  fund  known  as  the  "Nurses'  Fund,"  and  shall  be  subject  at  all  times  to  the  warrant 
of  the  State  Auditor  drawn  upon  written  requisition  of  the  president  or  vice-presi- 
dent and  attested  by  the  secretary  of  said  Board  of  Examiners,  with  seal  attached, 
for  the  payment  of  any  expenses  made  by  said  Board.  The  secretary  shall  make, 
on  or  before  January  ist  of  each  year,  a  report  to  the  Governor  of  the  State,  con- 
taining a  true  and  correct  account  of  all  moneys  received  and  ordered  disbursed  by 


144  STATE   REGISTRATION   FOR   NURSES 

the  Board.    Any  expense  incurred  in  making  said  report  and  any  other  necessary 
expenses  of  the  said  Board  shall  be  paid  out  of  the  said  fund. 

QUORUM. 

SEC.  4.  Two  members  of  the  Board  shall  constitute  a  quorum.  Special  meet- 
ings of  the  Board  shall  be  called  by  the  secretary  upon  written  request  of  any  other 
member.  The  Board  shall  from  time  to  time  adopt  rules  for  the  examination  of 
applicants  for  registration  in  accordance  with  the  provisions  of  this  Act,  and  shall 
from  time  to  tune  adopt  rules  by  which  to  establish  a  uniform  and  reasonable 
standard  of  instruction  and  training  to  be  observed  by  training-schools,  and  shall 
determine  the  reputability  of  such  schools  by  reference  to  their  compliance  with  such 
rules,  and  in  like  manner  may  from  time  to  time  amend,  modify,  and  repeal  such  rules. 
The  Board  shall  immediately  upon  the  election  of  an  officer  file  with  the  Secretary 
of  State  a  certificate  thereof,  giving  the  name  and  address  of  such  officer,  and  im- 
mediately, upon  the  adoption  of  any  rule,  shall  file  with  the  Secretary  of  State  a 
certificate  thereof,  setting  out  therein  a  copy  of  such  rule,  or  in  case  of  the  repeal  of 
a  rule  setting  out  fully  such  fact,  and  shall  immediately  publish  such  certificate  in 
at  least  one  journal  devoted  to  the  interests  of  professional  nursing  and  mail  a  copy 
of  such  certificate  to  every  applicant  at  the  address  appearing  upon  the  records  of 
the  Board  and  to  every  reputable  training-school  hi  the  State  of  Wyoming. 

DUTY  OF  BOARD. 

SEC.  5.  It  shall  be  the  duty  of  the  Board  to  meet  for  the  purpose  of  holding 
examinations  once  hi  every  year.  Notice  of  such  meetings  shall  be  given  to  the 
public  press  and  to  at  least  one  journal  devoted  to  the  interests  of  professional 
nursing  and  by  mail  to  every  applicant,  and  to  every  reputable  training-school  in 
Wyoming  at  least  thirty  days  prior  to  the  meeting.  At  such  meetings  it  shall  be 
the  duty  of  the  Board  to  examine  all  such  applicants  for  registration  under  this  Act 
as  are  required  to  be  examined,  and  to  issue  to  each  duly  qualified  applicant  who 
shall  have  complied  with  the  pertinent  provisions  of  this  Act  the  certificate  provided 
for  in  this  Act.  Any  person  to  whom  a  certificate  of  registration  shall  be  issued  shall 
within  ninety  (90)  days  thereafter  cause  the  same  to  be  recorded  with  the  County 
Clerk  of  the  county  in  which  such  person  resided  at  the  time  of  application.  Such 
person  shall  be  prepared  whenever  requested  to  exhibit  such  certificate  of  registra- 
tion or  a  certified  copy  thereof. 

AGE. 

SEC.  6.  Every  applicant  for  registration  shall  be  at  least  twenty-one  (21) 
years  old,  of  good  moral  character,  and  shall  possess  such  further  qualifications  as 
may  be  prescribed  from  tune  to  tune  by  the  Board  by  rule:  provided,  that  no  such 
rule  shall  be  inconsistent  with  the  provisions  of  this  Act  relating  to  those  who  shall 
make  application  prior  to  July  i,  1910.  Every  applicant  shall  make  such  proof  of 
the  necessary  qualifications  as  shall  satisfy  the  Board  thereof.  Every  application 
shall  be  made  in  writing  in  the  true  name  of  the  applicant,  in  such  form  as  may  from 
time  to  tune  be  prescribed  by  the  Board,  and  shall  state  the  place  of  residence  of 
and  be  signed  by  the  applicant.  The  fee  for  acting  on  an  application  shall  be  ten 
($10.00)  dollars  and  shall  accompany  the  application,  but  every  subsequent  appli- 
cation of  the  same  person  shall  be  acted  on  without  fee. 

ENTITLED  TO  REGISTRATION. 

SEC.  7.  Upon  compliance  with  the  pertinent  provisions  of  this  Act,  nurses 
otherwise  qualified  shall  be  entitled  to  registration  as  follows:  First,  without  ex- 
amination, provided  they  make  application  prior  to  July  i,  1910;  (a)  nurses  who 
shall  have  graduated  before  said  date  from  a  training-school  which  is  connected  with 
a  general  hospital  and  which  shall  be  registered  by  the  Examining  Board,  provided, 


FULL   TEXT   OF   LAWS  145 

such  nurses  so  applying  shall  have  received  a  course  of  at  least  two  years'  training 
in  such  training-schools,  and  provided  further ,  That  no  training-school  shall  be  regis- 
tered by  said  Examining  Board  unless  such  school  maintains  proper  educational 
standards,  and  unless  it  gives  not  less  than  two  years'  training  in  a  general  hospital, 
or  its  equivalent;  (b)  nurses  who  shall  have  graduated  on  or  prior  to  January  i ,  1 897, 
from  a  reputable  training-school  connected  with  a  general  hospital,  who  at  the  tune 
of  graduation  shall  have  received  a  course  of  one  year's  training  in  such  training- 
school,  and  who  at  the  time  of  application  shall  have  been  engaged  in  nursing  five 
years  since  their  graduation;  (c)  nurses  now  in  training  in  a  training-school,  regis- 
tered hereafter  by  the  Examining  Board  and  connected  with  a  general  hospital, 
which  now  gives  a  course  of  at  least  two  years'  training;  provided,  the  applicants 
graduate  therefrom.  Second,  nurses  who  shall  make  application  on  or  after  July  i, 
1910,  and  who  at  the  time  of  application  shall  have  graduated  from  a  training- 
school,  connected  with  a  general  hospital,  registered  by  said  Examining  Board  and 
requiring  a  systematic  course  of  at  least  two  years'  training;  provided,  such  appli- 
cants shall  pass  an  examination  to  be  prescribed  by  said  Board,  to  determine  their 
fitness  and  ability  to  give  efficient  care  to  the  sick.  Third,  nurses  who  shall  make 
application  on  or  after  July  i,  1910,  and  who  at  the  time  of  application  shall  have 
graduated  from  a  reputable  training-school  connected  with  a  special  hospital, 
requiring  a  systematic  course  of  at  least  two  years'  training,  and  who  at  the  time  of 
application  shall  have  obtained  in  a  reputable  general  hospital  one  (i)  year's 
additional  training  in  subjects  not  adequately  taught  in  the  training-school  from 
which  they  graduated,  and  shall  pass  an  examination  to  determine  their  fitness  and 
ability  to  give  efficient  care  to  the  sick. 

UNLAWFUL. 

SEC.  8.  It  shall  be  unlawful  hereafter  for  any  person  to  practice  or  attempt  to 
practice  in  this  State  as  a  graduate,  trained,  or  registered  nurse  without  a  certificate 
from  the  Board.  Any  person  who  has  received  such  a  certificate  shall  be  styled  and 
known  as  a  Registered  Nurse,  and  shall  be  entitled  to  append  the  letters  "R.  N." 
to  the  name  of  such  person.  No  other  persons  shall  assume  or  use  such  title  or  the 
abbreviation  "R.  N."  or  any  other  words,  letters,  or  figures  to  indicate  that  such 
person  is  a  Registered,  Trained,  or  Graduate  Nurse. 

NOT  CONSTRUED. 

SEC.  9.  This  Act  shall  not  be  construed  to  affect  or  apply  to  the  gratuitous 
nursing  of  the  sick  by  friends  or  members  of  the  family,  nor  to  any  person  nursing 
the  sick  for  hire  who  does  not  in  any  way  assume  or  pretend  to  be  a  registered 
or  graduate  nurse,  and  this  Act  shall  not  be  construed  to  interfere  in  any  way  with 
members  of  religious  communities  or  orders  which  have  charge  of  hospitals  or  take 
care  of  the  sick  in  their  own  homes;  provided,  such  members  do  not  in  any  way  as- 
sume to  be  Registered  Nurses. 

UPON  PAYMENT. 

SEC.  10.  The  Board,  upon  written  application  and  upon  the  payment  of  ten 
($10.00)  dollars  as  a  registration  fee,  may  issue  a  certificate  without  examination  to 
those  who  shall  have  been  registered  as  registered  nurses  under  the  law  of  another 
State  having  requirements  equivalent  to  those  of  Wyoming. 

MISDEMEANOR. 

SEC.  n.  Any  person  violating  any  of  the  provisions  of  this  Act  shall  be  guilty 
of  a  misdemeanor  and  shall  upon  conviction  be  fined  for  each  offense,  in  a  sum  not 
less  than  ten  ($10.00)  dollars  nor  more  than  two  hundred  ($200.00)  dollars  for  the 
first  offense,  and  not  less  than  one  hundred  ($100.00)  dollars  nor  more  than  five 
hundred  ($500.00)  dollars  for  each  subsequent  offense.  Any  person  who  shall 

10 


146  STATE   REGISTRATION   FOR   NURSES 

wilfully  make  any  false  representation  to  the  Board  in  applying  for  a  license  shall 
be  guilty  of  a  misdemeanor,  and  upon  conviction  shall  be  fined  in  a  sum  not  less 
than  one  hundred  ($100.00)  dollars  nor  more  than  two  hundred  ($200.00)  dollars. 

ATTESTED  BY. 

SEC.  12.  All  certificates  issued  by  the  Board  shall  be  signed  by  all  members 
thereof,  and  shall  be  attested  by  the  president  and  secretary. 

MAY  REVOKE. 

SEC.  13.  The  Board  may  revoke  any  certificate  by  a  unanimous  vote  for  dis- 
honesty, gross  incompetency,  a  habit  rendering  a  nurse  unsafe  to  be  entrusted  with 
or  unfit  for  the  care  of  the  sick,  conduct  derogatory  to  the  morals  or  standing  of  the 
profession  of  nursing,  or  any  wilful  fraud  or  misrepresentation  practised  in  procuring 
such  certificate;  Pro-aided,  the  holder  of  such  certificate  shall  have  been  given  at 
least  thirty  (30)  days'  notice  in  writing  of  the  specific  charges  against  such  holder, 
and  of  the  time  and  place  of  hearing  the  charge  by  the  Board,  at  which  time  and 
place  the  holder  shall  be  entitled  to  be  heard  and  to  be  represented  by  counsel. 
Upon  the  revocation  of  any  certificate  the  same  shall  be  null  and  void;  the  holder 
thereof  shall  cease  to  be  entitled  to  any  of  the  privileges  conferred  by  such  certifi- 
cate, and  it  shall  be  the  duty  of  the  secretary  of  the  Board  to  strike  the  name  of  the 
holder  thereof  from  the  roll  of  registered  nurses,  and  to  give  notice  of  such  revoca- 
tion to  the  county  clerk  in  whose  office  such  certificate  is  recorded,  and  thereupon 
such  county  clerk  shall  note  the  fact  of  such  revocation  upon  the  record  of  such 
certificate. 

No  AUTHORITY. 

SEC.  14.  Nothing  contained  in  this  Act  shall  be  considered  as  conferring  any 
authority  to  practice  medicine  or  undertake  the  treatment  or  cure  of  disease  in  vio- 
lation of  the  laws  relating  to  the-practice  of  medicine  of  this  State. 

SEC.  15.    This  Act  shall  take  effect  and  be  in  force  from  and  after  its  passage. 


INDEX 


PAGES 

ALABAMA 3,  17,  36,  52,  54 

APPOINTIVE  POWER  OF  BOARDS 3-16 

ARKANSAS 3,  17,  36,  41,  42,  46,  51,  54-58 

BOARD  OF  NURSE  EXAMINERS,  STATE — STATE,  APPOINTIVE  POWER,  TERM, 
MEETINGS,  NOTICE  OF  MEETINGS,  OFFICERS,  DUTIES  OF  BOARD,  MIS- 
CELLANEOUS   3-16 

CALIFORNIA 4,  17,  36,  41,  42,  46,  51,  52,  58-60 

CAUSES  AND  RESULTS  OF  REVOCATION 46-50 

CERTIFICATES,  RECORDING 52 

COLORADO 4,  18,  36,  41,  42,  46,  51,  52,  60,  61 

COMMON  TO  BOTH,  REGISTRATION  REQUIREMENTS 17-36 

COMPULSORY  LAWS 51,  52 

CONNECTICUT 4,  18,  36,  41,  42,  46,  51,  52,  62-64 

DELAWARE 4,  19,  37,  41,  42,  46,  51,  52,  64,  65 

DISPOSITION  OF  REGISTRATION  FEE 36-40 

DISTRICT  OF  COLUMBIA 5,  19,  37,  41,  42,  46,  51,  65-67 

DUTIES  OF  BOARD 3-16 

EXAMINERS,  STATE  BOARD  OF  NURSE — STATE,  APPOINTIVE  POWER,  TERM, 
MEETINGS,  NOTICE  OF  MEETINGS,  OFFICERS,  DUTIES  OF  BOARD,  MISCEL- 
LANEOUS   3-16 

EXEMPTIONS  AND  RESTRICTIONS 41 

FEE  FOR  REGISTRATION 36-40 

FEES  AND  THEIR  DISPOSITION 36-40 

FINE  FOR  VIOLATION •. 42-45 

FLORIDA 5,  19,  37,  41,  42,  46,  51,  53,  6*7-69 

FULL  TEXT  OF  LAWS 54-146 

GEORGIA 5,  20,  37,  41,  42,  46,  51,  69-71 

IDAHO 6,  21,  37,  41,  42,  46,  51,  71-74 

ILLINOIS „ 6,  21,  37,  41,  42,  47,  51,  53,  74-79 

147 


148  INDEX 


PAGES 


IMPRISONMENT  FOR  VIOLATION 42-45 

INDIANA 6,  22,  37,  41,  42,  47,  51,  52,  79-81 

INTRODUCTION i,  2 

IowA 7,  23,  37,  41,  42,  47,  51,  52,  82, 83 

KANSAS......  .  7,  23,  37,  41,  42,  47,  51,  53,  83-86 

KENTUCKY...  .  7,  24,  38,  41,  43,  47,  51,  53,  86-89 

LAWS,  COMPULSORY 51,  52 

LAWS,  FULL  TEXT  OF 54-146 

LOUISIANA.  . .  .8,  25,  38,  41,  43,  47,  51,  89-91 

MARYLAND.  ...  8,  25,  38,  41,  43,  47,  51,  91-93 

MASSACHUSETTS.  . .  8,  26,  38,  41,  43,  47,  51,  93-95 

MEETINGS  OF  BOARD 3-16 

MICHIGAN .  9,  26,  38,  41,  43,  48,  53,  95-98 

MINNESOTA.  ... 9,  27,  38,  41,  43,  48,  51,  98-100 

MISCELLANEOUS 52,  53 

MISCELLANEOUS,  STATE  BOARD  OF  NURSE  EXAMINERS 3-16 

MISCELLANEOUS  VIOLATIONS 42-45 

MISSISSIPPI 9,  27,  38,  41,  43,  48,  51,  53,  100-103 

MISSOURI 10,  28,  39,  41,  43,  48,  51,  103-105 

MONTANA 10,  28,  39,  41,  43,  48,  51,  53,  106-109 

NATURE  OF  CRIME,  VIOLATIONS 42-45 

NEBRASKA 10,  29,  39,  41,  43,  48,  51,  109-111 

NEW  HAMPSHIRE n,  29,  39,  41,  44,  48,  51,  in,  112 

NEW  JERSEY u,  30,  39,  41,  44,  48,  51,  113-115 

NEW  YORK 12,  30,  39,  41,  44,  49,  51,  115, 116 

NORTH  CAROLINA 12,  30,  39,  41,  44,  49,  51,  116, 117 

NOTICE  FOR  REVOCATION 46-50 

NURSE  EXAMINERS,  STATE  BOARD  OF — STATE,  APPOINTIVE  POWER,  TERM, 
MEETINGS,  NOTICE  OF  MEETINGS,  OFFICERS,  DUTIES  OF  BOARD,  MIS- 
CELLANEOUS   3-16 

OFFICERS  OF  BOARD 3-16 

OKLAHOMA 12,  31,  39,  41,  44,  49,  51,  53,  118,  119 

OREGON 12,  31,  39,  41,  44,  49,  51,  53,  119-121 

PENNSYLVANIA 13,  32,  39,  41,  44,  49,  51,  122-124 

PROVIDENCE  PLANTATIONS 124-126 

RECIPROCITY 51 

RECORDING  CERTIFICATES 52 


INDEX  149 

PAGES 

REGISTRATION  REQUIREMENTS — WITHOUT  EXAMINATION,  WITH  EXAMINA- 
TION, COMMON  TO  BOTH 17-36 

RESTRICTIONS,  EXEMPTIONS  AND 41 

REVOCATION — STATE,  NOTICE,  VOTE  OF  BOARD,  CAUSES  AND  RESULTS  ....  46-50 

RHODE  ISLAND 13,  32,  40,  41,  44,  49,  51,  53,  124-126 

SOUTH  CAROLINA 14,  32,  40,  41,  44,  49,  51,  53,  126-128 

STATE  BOARD  OF  NURSE  EXAMINERS — STATE,  APPOINTIVE  POWER,  TERM, 
MEETINGS,  NOTICE  OF  MEETINGS,  OFFICERS,  DUTIES  OF  BOARD,  MIS- 
CELLANEOUS    3-16 

TENNESSEE 14,  32,  40,  41,  44,  49,  51,  128-131 

TERM  OF  BOARD  MEMBERS 3-16 

TEXAS .   14,  33,  40,  41,  45,  50,  51,  131-133 

TEXT  OF  LAWS,  FULL 54-146 

VERMONT 15,  33,  40,  41,  45,  50,  51,  133-135 

VIOLATIONS — STATE,  NATURE  OF  CRIME,  FINE,  IMPRISONMENT,  MISCEL- 
LANEOUS   42-45 

VIRGINIA 15,  34,  40,  41,  45,  50,  51,  135-137 

VOTE  OF  BOARD  FOR  REVOCATION 46-50 

WASHINGTON 15,  34,  40,  41,  45,  50,  51,  137,  138 

WEST  VIRGINIA 16,  34,  40,  41,  45,  50,  51,  138-140 

WISCONSIN 16,  35,  40,  41,  45,  50,  51,  53,  140-143 

WITH  EXAMINATION  FOR  REGISTRATION 17-36 

WITHOUT  EXAMINATION  FOR  REGISTRATION 17-36 

WYOMING 16,  35,  40,  41,  45,  50,  51,  143-146 


PUBLISHED   BY 


W.    B.   SAUNDERS   COMPANY 

West  Washington  Square  Philadelphia 

London  :   9,  Henrietta  Street,  Covent  Garden 


Sanders'   Nursing 

Miss  Sanders'  new  book  is  undoubtedly  the  most 
complete  and  most  practical  work  on  nursing  ever 
published.  Every  thing  about  every  subject  with 
which  the  nurse  should  be  familiar  is  detailed  in 
a  clean  cut,  definite  way.  There  is  no  other 
nursing  book  so  full  of  good,  practical  informa- 
tion —  information  you  need. 

Modern  Methods  in  Nursing.  By  GEORGIANA  J.  SANDERS, 
formerly  Superintendent  of  Nurses  at  Massachusetts  Gen- 
eral Hospital.  i2ino  of  881  pages,  with  227  illustrations. 

Cloth,  $2.50  net. 

Aikens'  Home  Nurse's  Handbook 

PRACTICAL 

The  point  about  this  work  is  this:  It  tells  you, 
and  shows  you  just  how  to  do  those  little  —  but 
none  the  less  important  —  things  entirely  omitted 
from  other  nursing  books,  or  at  best  only  inci- 
dentally treated.  The  chapters  on  "Home  Treat- 
ments" and  "Every-Day  Care  of  the  Baby," 
stand  out  as  particularly  practical.  Then  the 
"  Points  to  be  Remembered"  —  terse,  crisp  re- 
minders —  is  a  feature  of  great  value. 

Home  Nurse's  Handbook.  By  CHARLOTTE  A.  AIKENS. 
formerly  Director  of  the  Sibley  Memorial  Hospital,  Wash- 
ington, D.C.  12010  of  276  pages,  illustrated.  Cloth,  $1.50  net 


Stoney's  Nursing 


NEW   (4th)  EDITION 


Of  this  work  the  American  fournal  of  Nursing  says:  "It  is  the 
fullest  and  most  complete  and  may  well  be  recommended  as 
being  of  great  general  usefulness.  The  best  chapter  is  the  one 
on  observation  of  symptoms  which  is  very  thorough."  There 
are  directions  how  to  improvise  everything. 

Practical  Points  in  Nursing.  By  EMILY  M.  A.  STONEY,  formerly  Super- 
intendent of  the  Training  School  for  Nurses  in  the  Carney  Hospital, 
South  Boston,  Mass.  lamo,  495  pages,  illustrated.  Cloth,  $1.75  net. 


NEw  &>  EDITION 


Stoney's  Materia  Medica 

Stoney's  Materia  Medica  was  written  by  a  head  nurse  who 
knows  just  what  the  nurse  needs.  American  Medicine  says 
it  contains  "all  the  information  in  regards  to  drugs  that  a 
nurse  should  possess." 

Materia  Medica  for  Nurses.  By  EMILY  M.  A.  STONEY,  formerly  Super- 
intendent of  the  Training  School  for  Nurses  in  the  Carney  Hospital, 
South  Boston,  Mass,  izmo  volume  of  300  pages.  Cloth,  $1.50  net. 


NEW  (3d)  EDITION 


Stoney's  Surgical  Technic 

The  first  part  of  the  book  is  dovoted  to  Bacteriology  and 
Antiseptics;  the  second  part  to  Surgical  Technic,  Signs  of 
Death,  Bandaging,  Care  of  Infants,  etc. 

Bacteriology  and  Surgical  Technic  for  Nurses.  By  EMILY  M.  A. 
STONEY.  Revised  by  FREDERIC  R.  GRIFFITH,  M.  D.,  New  York, 
izmo  volume  of  311  pages,  fully  illustrated.  Cloth,  $1.50  net 

Goodnow's  First- Year  Nursing  ILLUSTRATED 

Miss  Goodnow's  work  deals  entirely  with  the  practical  side  of 
first-year  nursing  work.  It  is  the  application  of  text-book 
knowledge.  It  tells  the  nurse  how  to  do  those  things  she  is  called 
upon  to  do  in  her  first  year  in  the  training  school — the  actual 
ward  work. 

First-Year  Nursing.  By  MINNIE  GOODNOW,  R.  N.,  formerly  Super- 
intendent of  the  Women's  Hospital,  Denver.  ismo  of  328  pages, 
illustrated.  Cloth,  $1.50  net. 


Aikens'  Hospital  Management 

This  is  just  the  work  for  hospital  superintendents,  training- 
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"Tells  in  concise  form  exactly  what  a  hospital  should  do 
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Hospital  Management.  Arranged  and  edited  by  CHARLOTTE  A. 
AlKENS,  formerly  Director  o?  Sibley  Memorial  Hospital,  Washing- 
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Aikens'  Primary  Studies         NEW  (2d)  EDITION 

Trained  Nurse  and  Hospital  Review  says:  "It  is  safe  to  say 
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who  ever  stood  for  examination." 

Primary  Studies  for  Nurses.  By  CHARLOTTE  A.  AIKENS,  formerly 
Director  of  Sibley  Memorial  Hospital,  Washington,  D.  C.  iamo  of 
437  pages,  illustrated.  Cloth,  $1.75  net 

Aikens'  Training-School  Methods  and 
the  Head  Nurse 

This  work  not  only  tells  how  to  teach,  but  also  what  should 
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"  This  book  is  original,  breezy  and  healthy." 

Hospital  Training-School  Methods  and  the  Head  Nurse.  By  CHAR- 
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Washington,  D.  C.  12010  of  267  pages.  Cloth,  $1.50  net 

Aikens'    Clinical    Studies       NEW  (2d)  EDITION 

This  work  for  second  and  third  year  students  is  written  on  the 
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dents. Dietetic  and  Hygienic  Gazette  says  there  "  is  a  large 
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Clinical  Studies  for  Nurses.  By  CHARLOTTE  A.  AIKENS,  formerly 
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569  pages,  illustrated  Cloth,  $2.00  net 


Bolduan  and  Grund's  Bacteriology 

The  authors  have  laid  particular  emphasis  on  the  immediate 
application  of  bacteriology  to  the  art  of  nursing.  It  is  an 
applied  bacteriology  in  the  truest  sense.  A  study  of  all  the 
ordinary  modes  of  transmission  of  infection  are  included. 

Applied  Bacteriology  for  Nurses.  By  CHARLES  F.  BOLDUAN,  M. D., 
Assistant  to  the  General  Medical  Officer,  and  MARIE  GRUND,  M.D., 
Bacteriologist,  Research  Laboratory,  Department  of  Health,  City  of 
New  York,  izmo  of  166  pages,  Illustrated.  Cloth,  $1.25  net. 


Fiske's  The  Body 


A  NEW  IDEA 


Trained  Nurse  and  Hospital  Review  says  "it  is  concise,  well- 
written  and  well  illustrated,  and  should  meet  with  favor  in 
schools  for  nurses  and  with  the  graduate  nurse." 

Structure  and  Functions  of  the  Body.  By  ANNETTE  FISKE,  A.  M., 
Graduate  of  the  Waltham  Training  School  for  Nurses,  Massa- 
chusetts. i2mo  of  221  pages,  illustrated.  Cloth,  $1.25  net 


Beck's  Reference  Handbook 


NEW  (3d)  EDITION 


This  book  contains  all  the  information  that  a  nurse  requires 
to  carry  out  any  directions  given  by  the  physician.  The 
Montreal  Medical  Journal  says  it  is  "cleverly  systematized  and 
shows  close  observation  of  the  sickroom  and  hospital  regime.'1 

A  Reference  Handbook  for  Nurses.  By  AMANDA  K.  BECK,  Grad- 
uate of  the  Illinois  Training  School  for  Nurses,  Chicago,  111, 
32mo  volume  of  244  pages.  Bound  in  flexible  leather,  $1.25  net, 

Roberts'  Bacteriology  &  Pathology 

This  new  work  is  practical  in  the  strictest  sense.  Written 
specially  for  nurses,  it  confines  itself  to  information  that  the 
nurse  should  know.  All  unessential  matter  is  excluded.  The 
style  is  concise  and  to  the  point,  yet  clear  and  plain.  The  text 
is  illustrated  throughout. 

Bacteriology  and  Pathofogy  for  Nurses.  By  JAY  G.  ROBERTS,  Ph.  G.. 
M.  D.,  Oskaloosa,  Iowa.  i2mo  of  206  pages,  illustrated.  $1.25  net. 


DeLee's  Obstetrics  for  Nurses 

Dr.  DeLee's  book  really  considers  two  subjects — obstetrics 
for  nurses  and  actual  obstetric  nursing.  Trained  Nurse  and 
Hospital  Review  says  the  "book  abounds  with  practical 
suggestions,  and  they  are  given  with  such  clearness  that 
they  cannot  fail  to  leave  their  impress." 

Obstetrics  for  Nurses.  By  JOSEPH  B.  DRL.EE,  M.  D..  Professor  of 
Obstetrics  at  the  Northwestern  University  Medical  School,  Chicago. 
i2mo  volume  of  508  pages,  fully  illustrated.  Cloth,  $2.50  net. 

Davis'  Obstetric  &  Gynecologic  Nursing 

NEW  (4th)  EDITION 

The  Trained  Nurse  and  Hospital  Review  says:  "  This  is  one 
of  the  most  practical  and  useful  books  ever  presented  to  the 
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Obstetric  and  Gynecologic  Nursing.  By  EDWARD  P.  DAVIS,  M.  D., 
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phia. i*mo  volume  of  480  pages,  illustrated.  Buckram,  $1.75  net 

Macfarlane's  Gynecology  for  Nurses 

NEW  (2d)   EDITION 

Dr.  A.  M.  Seabrook,  Woman's  Hospital  of  Philadelphia,  says: 
"  It  is  a  most  admirable  little  book,  covering  in  a  concise  but 
attractive  way  the  subject  from  the  nurse's  standpoint." 

A  Reference  Handbook  of  Gynecology  for  Nurses.  By  CATHARINE 
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delphia. 32mo  of  156  pages,  with  70  illustrations.  Flexible  leather, 
$1.25  net. 

Asher's  Chemistry  and  Toxicology 

Dr.  Asher's  one  aim  was  to  emphasize  throughout  his  book 
the  application  of  chemical  and  toxicologic  knowledge  in  the 
study  and  practice  of  nursing.  He  has  admirably  succeeded. 

i2mo  of  igo  pages.  By  PHILIP  ASHER,  PH.  G.,  M.  D.,  Dean  and  Pro- 
fessor of  Chemistry,  New  Orleans  College  of  Pharmacy.  Cloth, 
$1.25  net. 


Bohm  &  Painter's  Massage 

The  methods  described  are  those  employed  in  Hoffa's  Clinic 
— methods  that  give  results.  Every  step  is  illustrated,  showing 
you  the  exact  direction  of  the  strokings.  The  pictures  are 
large. 

Octavo  of  91  pages,  with  q?  illustrations.  By  MAX  BOHM,  M.  D., 
Berlin,  Germany.  Edited  by  CHARLES  F.  PAINTER,  M.  D.,  Professor 
of  Orthopedic  Surgery,  Tufts  College  Medical  School,  Boston. 

Cloth,  $1.75  net. 

Eye,  Ear,  Nose,  and  Throat  Nursing 

Medical  Record  says:  "Every  side  of  the  question  has  been 
fully  taken  into  consideration." 

Nursing  in  Diseases  of  the  Eye,  Ear,  Nose  and  Throat.  By  the 
Committee  on  Nurses  of  the  Manhattan  Eye,  Ear  and  Throat  Hospitai. 
izmo  of  260  pages,  illustrated.  Cloth,  $1.50  net. 

Friedenwald  and  Ruhrah's  Dietetics  for 

IN  UrSGS  NEW  (3d)  EDITION 

This  work  has  been  prepared  to  meet  the  needs  of  the  nurse, 
both  in  training  school  and  after  graduation.  American  Jotir- 
nal  of  Nursing  says  it  "is  exactly  the  book  for  which  nurses 
and  others  have  long  and  vainly  sought." 

Dietetics  for  Nurses.  By  JULIUS  FRIEDENWALD,  M.  D.,  Professor 
of  Diseases  of  the  Stomach,  and  JOHN  RUHRAH,  M.  D.,  Professor  of 
Diseases  of  Children,  College  of  Physicians  and  Surgeons,  Baltimore. 
i2mo  volume  of  431  pages.  Cloth,  $1.50  net 

Friedenwald  &  Ruhrah  on  Diet        JSSS* 

Diet  in  Health  and  Disease.  By  JULIUS  FRIEDEN- 
WAI.D,  M.D.,  and  JOHN  RUHRAH,  M.D.  Octavo  vol- 
ume of  857  pages.  Cloth,  $4.00  net. 

Galbraith's   Personal  Hygiene  and  Physical 

Training  for    Women  ILLUSTRATED 

Personal  Hygiene  and  Physical  Training  for  Women.  By  ANNA  M. 
GALBRAITH,  M.  D.,  Fellow  New  York  Academy  of  Medicine,  izmo 
of  371  pages,  illustrated.  Cloth,  $2.00  net. 

Galbraith's  Four  Epochs  of  Woman's  Life 

THE  NEW  (2d)  EDITION 

The  Four  Epochs  of  Woman's  Life.  By  ANNA  M.  GALBRAITH.  M.D. 
With  an  Introductory  Note  by  JOHN  H.  MUSSER,  M.  D.,  University 
of  Pennsylvania,  xamo  of  247  pages.  Cloth,  $1.50  net 


McCombs'  Diseases  of  Children  for  Nurses 

NEW  (2d)   EDITION 

Dr.  McCombs'  experience  in  lecturing  to  nurses  has  enabled 
him  to  emphasize  just  those  points  that  nurses  most  need  to  know. 
National  Hospital  Record  says:  "We  have  needed  a  good 
book  on  children's  diseases  and  this  volume  admirably  fills 
the  want."  The  nurse's  side  has  been  written  by  head 
nurses,  very  valuable  being  the  work  of  Miss  Jennie  Manly. 

Diseases  of  Children  for  Nurses.  By  ROBERT  S.  McCOMBS,  M.  D.. 
Instructor  of  Nurses  at  the  Children's  Hospital  of  Philadelphia.  i2mo 
of  470  pages,  illustrated.  Cloth,  $2.00  net 


NEW  (2d)  EDITION 


Wilson's  Obstetric  Nursing 

In  Dr.  Wilson's  work  the  entire  subject  is  covered  from  the 
beginning  of  pregnancy,  its  course,  signs,  labor,  its  actual 
accomplishment,  the  puerperium  and  care  of  the  infant. 
American  Journal  of  Obstetrics  says:  "  Every  page  empasizes 
the  nurse's  relation  to  the  case." 

A  Reference  Handbook  of  Obstetric  Nursing.  By  W.  REYNOLDS 
WILSON,  M.D.,  Visiting  Physician  to  the  Philadelphia  Lying-in  Char- 
ily, szmo  of  355  pages,  illustrated.  Flexible  leather,  $1.25  net 


NEW  (8th)  EDITION 


American  Pocket  Dictionary 

The  Trained  Nurse  and  Hospital  Review  says:  "We  have 
had  many  occasions  to  refer  to  this  dictionary,  and  in  every 
instance  we  have  found  the  desired  information." 

American  Pocket  Medical  Dictionary.  Edited  by  W.  A.  NEWMAN 
DORLAND,  A.  M.,  M.  D.,  Loyola  University,  Chicago.  Flexible 
leather,  gold  edges,  $t.oo  net;  with  patent  thumb  index,  $1.25  net 


THIRD 
EDITION 


Lewis'  Anatomy  and  Physiology 

Nurses  Joarnal of  Pacific  Coast  says  "it  is  not  in  any  sense 
rudimentary,  but  comprehensive  in  its  treatment  of  the  sub- 
jects." The  low  price  makes  this  book  particularly  attractive. 

Anatomy  and  Physiology  for  Nurses.  By  LERov  LEWIS,  M.D.,  Lec- 
turer on  Anatomy  and  Physiology  for  Nurses,  Lewis  Hospital,  Bay 
City,  Mich.  i2mo  of  326  pages,  150  illustrations.  Cloth,  $1.75  net 


Boyd's  State  Registration  for  Nurses 

JUST  OUT  State  Registration  for  Nurses.  By  LOUIE  CROFT  BOYD.  R.  N.,  Grad- 

2d  EDITION          uate  Colorado  Training  School  for  Nurses.  Cloth,  $1.25  net. 

Paul's  Materia  Medica  NEW  <2d>  EDITION 

A  Text-Book  of  Materia  Medica  for  Nurses.  By  GEORGE  P.  PAUL.M.D., 
Samaritan  Hospital,  Troy,  N.  Y.  121110  of  282  pages.  Cloth,  $1.50  net 

Paul's  Fever  Nursing  NEw  (2d)  EDITION 

Nursing  in  the  Acute  Infectious  Fevers.  By  GEORGE  P.  PAUL,  M.D. 
i2mo  of  246  pages,  illustrated.  Cloth,  $1.00  net. 

Hoxie  &  Laptad's  Medicine  for  Nurses 

NEW  (2d)   EDITION,  REWRITTEN 

Medicine  for  Nurses  and  Housemothers.  By  GEORGE  HOWARD 
HOXIE,  M.D.,  University  of  Kansas;  and  PEARL  L.  LAPTAD.  ismo 
of  351  pages,  illustrated.  Cloth,  $1.50  net. 


Grafstrom's  Mechano-therapy 

Mechano-therapy  (Massage  and  Medical  Gymnastics).       By  AXEL  V. 
GRAFSTROM.  B.Sc.  M.D.,     12010,  200  pages.  Cloth,  $i  2;  net. 


Immediate  Care  of  the  Injurei.  By  ALBERT  S.  MORROW,  M.D.,  New 
York  City  Home  for  Aged  and  Infirm.  Octavo  of  354  pages,  with 
242  illustrations.  Clotr-,  $2.50  net.  New  (2d)  Edition 


A  Text  Book  on  Practical  Fever  Nu-sing.  By  EDWARD  C.  REGISTER, 
M.D.,  North  Carolina  Medical  College.  Octavo  of  350  pages,  illus- 
trated. Cloth,  $2.?o  net. 


Nancrede's  Anatomy  NEW  <?««)  EDITION 

Essentials  of  Anatomy.  CHARLES  B.  G.  DENANCREDE,  M.D.,  Univers- 
ity of  Michigan.  1  2  mo,  400  pages,  180  illustrations.  Cloth,  $1.00  net 

Morrow's  Immediate  Care  of  Injured 

Immediate  Care  of  the  Injurei.  By  / 
York  City  Home  for  Aged  and  In1 
242  illustrations.  Clotr,  $2.50  net. 

Register's  Fever  Nursing 

A  Text  Book  on  Practical  Fever  Nu-s 
M.D.,  North  Carolina  Medical  Coll.' 
trated. 

Pyle's  Personal  Hygiene        NEW  (5th)  EDITION 

A  Manual  of  Personal  Hygiene.  Edited  by  WALTER  L.  PYLE.  M.D. 
Wills  Eye  Hospital,  Philadelphia.  i2mo,  515  pages,  illus.  $1.50  net. 

Morris'  Materia  Medica         NEW  a*)  EDITION 

Essentials  of  Materia  Medici,  Therapeutics,  and  Prescription  Writing. 
By  HENRY  MORRIS,  M.D.  Revised  by  W.  A.  BASTEDO,  M.D.,  Colum- 
bia University,  N,  Y.  i2mo  of  300  pages,  illustrated.  Cloth,  $1.00  net 

Griffith's  Care  of  the  Baby     NEW  w  EDITION 

The  Care  of  the  Baby.  By  J.  P.  CROZER  GRIFFITH,  M.D.,  Univers- 
ity of  Pennsylvania,  izmo  of  455  pages,  illustrated.  Cloth,  $1.50  net 


5 


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Series  9482 


A     000  812  296     2 


